Txoj hauv kev muaj txiaj ntsig los kho corns rau cov neeg noj qab haus huv thiab cov lus qhia kom tshem tawm cov pob txha qhuav rau ntshav qab zib
Peb yuav tsum txiav txim siab tsis kam hnav cov khau nruj thiab nqaim, uas tawm tsam tsis tu ncua ntawm ib qho chaw twg thiab tuaj yeem ua rau lub pob zeb txhaws, uas yuav ua rau lub siab ua kom tawv nqaij, ua rau hematoma thiab muaj kev pheej hmoo ntawm trophic mob. Nws yog qhov zoo dua los xaiv cov khau orthopedic tshwj xeeb.
Qhov thib ob taw tes yog kom tsis txhob muaj cov tawv nqaij qhuav. Tom qab tag nrho, vim hais tias ntawm nws, cov kab nrib pleb tuaj yeem tshwm sim uas tuaj yeem kis tau. Corns feem ntau tshwm sim rau ntawm pob taws thiab tib leeg (corns), lub ntsej muag sab saud, qee zaum ntawm sab ko taw thiab nruab nrab ntiv taw.
Cov pob kws uas twb tau tshwm sim yog nruj me ntsis txwv tsis pub txiav lossis pa taws hauv dej kub - txhua qhov kev puas tsuaj rau ntawm daim tawv nqaij tuaj yeem dhau los ua lub qhov rooj nkag mus rau kev kis mob. Kev siv cov kua pob kws thiab kua dej tshwj xeeb tseem tsis raug tso cai. Koj tsuas tuaj yeem kho tus taw nrog pumice thiab thov 2-3 tawv nqaij kom tawv nqaij thiab noo noo uas muaj tus lej nyiaj ntau (kwv yees li 10%) ntawm urea 2-3 zaug hauv ib hnub. Tab sis nws yog ib qho tseem ceeb kom ntseeg tau tias lub qab zib tsis poob rau hauv qhov chaw sib tshuam - txhawm rau kom tsis txhob maceration (o ntawm cov epidermis).
Txhawm rau kho cov qhov txhab me, koj siv tsis tau cov cawv uas muaj cawv (iodine, ci ntsa iab ntsuab). Nws yog qhov zoo dua los kho nrog hydrogen peroxide, furatsilinom, chlorhexidine lossis lwm yam tshuaj tua kab mob. Yog tias liab lossis o tshwm sim ntawm daim tawv nqaij, sab laj tus kws kho mob tam sim ntawd.
Vim li cas rau qhov pom ntawm corns
Cov corns yog ob peb txheej ntawm daim tawv nqaij, nyob rau hauv qhov taw ntawm taw. Cov pawg ntawm cov hlwb uas tau poob lawv txoj kev muaj peev xwm tshwm sim thiab loj hlob vim muaj kev puas tsuaj ntau rau cov neeg kho tshuab kev ntxhov siab lossis siab ntawm ko taw.
Cov txheej txheem ntawm kev muab tshuaj txhuam ntev yuav ua rau cuam tshuam hauv kev muab ntshav mus rau qhov chaw, yog li ua kom cov txheej txheem keratinization ntawm daim tawv nqaij hlwb. Hauv cov txheej txheem ntawm kev txav mus los, qhuav hu ua rau lawv tus kheej hnov los ntawm mob thiab khaus.
Cov feem coob Cov ua tseem ceeb ntawm qhuav calluses yog:
- Tawv nkawm khau. Cov khau tsis raug xaiv, pob taws siab qhov siab, ntxig rau tawv nqaij - txhua yam no ua rau qhov hnyav ntxiv ntawm qee ntu ntawm ko taw. Sij hawm dhau mus, taug kev hauv cov khau no yuav ua rau cuam tshuam ntawm cov ntshav ntawm cov txheej txheem, vim li ntawm qee qhov chaw yuav maj mam ua kom muaj zog.
- Qhov xwm txheej ntxhov siab thiab qhov txhab kho mob. Ib qho xwm txheej tshwm sim hauv cov neeg muaj ntshav qab zib, vim yog rog dhau yog lub nra hnyav rau ntawm ob txhais ceg. Kuj tas li poob siab tshee. Kev cuam tshuam ntawm cov metabolism thiab kab mob fungal kuj yog yam tseem ceeb nyob rau hauv cov tsos ntawm cov teeb meem no.
- Ua tsis tiav hauv kev ua haujlwm ntawm cov kabmob sab hauv. Thaum lub sij hawm cov kev tshawb fawb, ib qho kev sib txuas ua ke tau coj los ntawm thaj chaw ntawm cov chaw hauv ib cheeb tsam ntawm cov pob txha thiab tib neeg cov kab mob.
Nyob rau hauv cov ntaub ntawv ntawm kev lees paub ntawm lub cev muaj kab mob hauv lub cev uas ua rau kev txhim kho ntawm pob txha, koj yuav tsum nrhiav kev pab ntawm kws kho mob.
Lwm yam:
- Muaj hws ntau nyob ntawm cov ceg.
- Deformation ntawm ko taw (taw tiaj, pob txha pob txha nthuav dav, pob txha deformation).
- Kev ntshai tsaj lij thiab mob caj dab.
Cov qog tau ua li cas hauv daim duab?
Cov Kev Kho Ntsej Muag
Cov xwm txheej ntawm corns qhov kev txiav txim siab tseem ceeb yog tshem tawm qhov ua kom muaj tshwm sim. Nws kuj yog qhov tsim nyog yuav tsum hnav lub teeb hnyav, nyiam khau yooj yim tshaj plaws, nws raug nquahu kom muab cov ntaub qhwv silicone rau hauv khau, lossis lwm txoj kev txhais tau tias muag muag taug kev.
Tom qab tshem tawm qhov ua rau ntawm corns koj tuaj yeem pib tshem cov corns nws tus kheej. Ua qhov no, thov:
- Kho vajtse pedicure. Kev sib tsoo ntawm keratinized daim tawv nqaij yuav siv qhov chaw tom qab thov tus neeg sawv cev tshwj xeeb rau cov ceg.
- Kev phais mob kho laser lossis khov nrog kua nitrogen.Thaum kawg ntawm cov txheej txheem no, koj yuav tsum xaiv khau xis thiab txo qis kev taug kev thiab kev txav mus los.
- Txhawm rau tshem tawm qhov mob thiab txo cov mob tshwm sim txias ua kom txias, nrog rau kev siv tshuaj: ibuprofen, nise, thiab lwm yam.
Kev tiv thaiv kev ntsuas
Ob peb txoj cai:
- Nkawm khau yooj yim. Koj yuav tsum xaiv cov khau kom haum haum uas haum qhov loj thiab cov qauv ntawm taw. Thaum xaiv tus qauv, nws yog qhov zoo dua rau kev saib xyuas khau nrog lub dav ntiv taw uas yuav tsis tuav koj tus ntiv tes rau hauv qhov chaw ua haujlwm.
- Looj khau tsuas yog rau nws cov qauv npaj tseg. Yog li, cov lus ntuas tsuas yog rau cov menyuam ntxhais: pob taws siab dua yog qhov zoo dua rau kev ua koob tsheej, thiab tsis yog rau kev taug kev txhua hnub.
- Tsis txhob taug kev ntev ntev hauv tib hom khau - tsuas yog nyob ntawm luj taws lossis rau ib qho tiaj tus tiaj, lawv yuav tsum tau sib hloov.
- Hnav thom khwm ua los ntawm cov ntaub qhwv ntuj. Qhov no yuav txhim kho kev ua pa ntawm ob txhais ceg thiab tiv thaiv lawv kev tawm hws, uas tuaj yeem ua rau txhawm, ua rau muaj teeb meem.
- Txo kev mob siab ko taw. Daim ntaub mos muag teeb rau hauv thaj chaw ze ntawm callus yuav pab kom tsis txhob muaj zog siab. Muag muag taw. Koj tuaj yeem siv ntaub ntaub, ntaub qhwv me me cais cov ntiv tes, npog lossis tes tsho rau cov ntiv taw.
- Kev nyiam huv ko taw. Ua da dej, kho txheej keratinized txheej nrog pumice, ntub nrog tshuaj pleev, zaws.
Cov lus qhia kom tshem tawm cov kev loj hlob hauv ntshav qab zib
Kev kho mob cov pob txha mob ntshav qab zib yog qhov txheej txheem nyuaj. Cov kev ua tsis zoo muaj peev xwm zam tau los ntawm kev sib tham nrog tus kws kho mob raws sij hawm. Ointments thiab cream yog feem ntau kws kho, cov txheej txheem no yuav tsum tau nqa tawm tsuas yog thaum yav tsaus ntuj.
Kev tu ko taw tsis tu ncua yuav pab kom koj ua tiav tau zoo. thiab txhua yam teebmeem yuav ploj mus.
Txhawm rau kom tsis txhob rov muaj mob ntxiv, koj yuav tsum ua raws li kev noj zaub mov noj, soj ntsuam xyuas cov ntshav qabzib hauv cov ntshav kom huv si, muaj kev saib xyuas kev nyiam huv, hnav cov khau kom yog, uas yuav tsum nyiam yog tias tsis muaj lub nraub qaum, cov thom khwm ua los ntawm cov paj rwb xov.
Yog tias cov ceg pob txha deformed, nws yog qhov yuav tsum tau sab laj nrog orthopedist los kho kev kho mob.
Ua tsaug rau cov tshuaj niaj hnub, muaj ntau txoj hauv kev los kho corns thiab ntxiv kom tshem tau lawv. Txhawm rau ntxiv cov txiaj ntsig xav tau, koj yuav tsum xub tham nrog kws kho mob txhawm rau txhawm rau paub qhov ua rau ntawm callus thiab pib kho. Tsis txhob tsis quav ntsej cov lus pom zoo los ntawm kws kho mob, koj yuav tsum tau ua los tiv thaiv kev tiv thaiv.
Mob taw ntsa: Cov tsos mob, cim thiab kho
Tau ntau xyoo tsis muaj kev vam meej nrog DIABETES?
Lub taub hau ntawm lub koom haum: “Koj yuav xav tsis thoob tias yoojyim kho mob ntshav qab zib li cas los ntawm kev noj tshuaj txhua hnub.
Ntshav taw yog teeb meem nrog cov ceg uas tshwm sim vim yog cov ntshav qab zib ntau. Mob ntshav qab zib, uas yog tswj tsis tau zoo, cuam tshuam qhov tsis hnov mob ntawm cov leeg (neuropathy), thiab tseem ua rau cov ntshav ntws hauv cov hlab ntsha ntawm ob txhais ceg. Qhov no nce ntawm kev pheej hmoo ntawm kev raug mob thiab kis mob. Mob ko taw mob ntshav tes taw - tus neeg mob yuav mob rwj, puas rau pob qij txha thiab cov pob txha ntawm nws txhais ceg. Cov mob zoo kho tsis zoo, cov kab mob pathogenic hlav tuaj rau hauv lawv. Hauv kev hais plaub ntug siab, qhov no ua rau mob caj dab thiab txiav tes taw. Cov hauv qab no qhia txog qhov ua, mob, tiv thaiv thiab kho tus mob ko taw. Kawm paub yuav kho cov plaub hau mob hauv tsev thiab nyob hauv tsev tu neeg. Mob qog, txiav tes taw thiab kev tsis taus tom qab yog qhov kev hem thawj rau ntshav qab zib. Tab sis koj tuaj yeem tiv thaiv nws yog tias koj ua raws li txoj cai ntawm kev saib xyuas ko taw.
- Vim li cas
- Cov tsos mob
- Cov paib
- Kev kuaj mob
- Charcot tus taw (mob ntshav qab zib osteoarthropathy)
- Kev Tiv Thaiv
- Kev Saib Xyuas Ko Taw: Cov Lus Qhia Ntxiv
- Yuav ua li cas yuav khau
- Kev nyiam huv ko taw
- Mob ntshav qab zib kho ko taw
- Yuav kho cov rwj nyob ntawm ko taw li cas
- Hnav Tsoos Tag Nrho Cov Tiv Tauj
- Cov Tshuaj Kho Mob - Antibiotics
- Kev phais mob, txiav tu plaub hau
- Orthopedic nkawm khau
- Cov lus xaus
Yog tias koj muaj ntshav qab zib tau ntau xyoo, thiab tseem ntau dua, yog tias koj tau tswj hwm nws tsis zoo txhua lub sijhawm no, tom qab ntawd muaj qhov pheej hmoo txaus ntshai ntawm kev puas tsuaj rau koj txhais ceg. Raws li koj paub, txhua qhov mob thiab raug mob hauv cov neeg mob ntshav qab zib tsis zoo. Txawm hais tias kev puas tsuaj me me tuaj yeem ua fester, txhim kho kev ua tub rog, thiab txhais taw yuav tsum tau txiav tu ncua. Nov yog qhov xwm txheej ntau. Txhawm rau zam nws, kawm thiab ua tib zoo ua raws cov cai rau kev saib xyuas ko taw, uas muaj npe hauv qab no. Yog hais tias koj ob txhais ceg raug mob vim neuropathy, nyeem cov lus "taw rau mob ntshav qab zib - yuav kho li cas." Cov hauv qab no qhia txog yuav ua li cas yog tias qhov rhiab heev hauv ob txhais ceg yog, ntawm qhov tsis sib thooj, txo qis. Qhov no tshwm sim ntau dua. Tus mob ntshav qab zib tsis hnov mob hauv ob txhais ceg, qhov hloov pauv ntawm qhov kub thiab txias, thauj khoom, txiav, hlwv, pebbles ntog rau hauv nkawm khau, thiab lwm yam. Ib tug tuaj yeem nyob nrog cov teeb meem no saib xyuas, thiab tom qab ntawd mam li nco dheev nws hloov tias txhais ceg tau pib lwj thiab koj yuav tsum tau pw ntawm lub rooj rau rau tus kws phais neeg. Ua raws li cov lus qhia hauv qab no kom muaj peev xwm taug kev “ntawm koj tus kheej.”
Tus naj npawb ntawm cov neeg mob ntshav qab zib uas muaj teeb meem ceg tau nce txhua lub sijhawm vim tias qhov tshwm sim ntawm tus mob ntshav qab zib hom 2 tau nce zuj zus. Ntawm thaj chaw ntawm Lavxias Federation thiab lub teb chaws CIS, ntau dua 200 lub chaw haujlwm tshwj xeeb ntawm tus mob ko taw ua haujlwm hauv cov chaw haujlwm hauv cheeb tsam. Nrog kev pab ntawm cov txheej txheem tshiab niaj hnub no, cov kws kho mob muaj peev xwm nce ntxiv los tiv thaiv txiav tes txiav taw.
Mob ko taw mob ko taw yog kho los ntawm kws kho mob tshwj xeeb hu ua kws kho mob taub hau. Tsis txhob yuam kev nrog tus kws kho mob me nyuam yaus.
Yuav kom nrhiav tau cov kws tshwj xeeb uas nyob ze koj, ntaus lub chaw tshawb mob “ko taw mob ko taw hauv koj lub nroog, chaw hauv cheeb tsam” lossis “ko taw mob ntshav qab zib hauv koj lub nroog, chaw hauv cheeb tsam”. Tom qab ntawd, koj yuav pom tam sim ntawd lub xeev cov tsev kho mob thiab chaw kho mob ntiag tug.
Cia peb saib seb dab tsi ua rau muaj mob ko taw hauv ntshav qab zib. Hauv cov ntshav qab zib, ntshav ncig hauv cov hlab ntsha uas pub txhais ceg yog feem ntau cuam tshuam. Tsis tau txais cov khoom noj txaus, daim tawv nqaij ntawm ob txhais ceg yuav tshwj xeeb tshaj yog kev puas tsuaj, thiab lawv kho maj mam. Te kuj cuam tshuam tsis zoo rau daim tawv nqaij ntawm tus neeg muaj ntshav qab zib, txawm hais tias cov neeg noj qab haus huv zam lub caij ntuj no txias yam tsis muaj teeb meem.
Txij li thaum sawv hlwv, kub nyhiab thiab abrasions ntawm cov neeg mob ntshav qab zib tsis mob, lawv yuav tsis mob siab rau lawv cov teeb meem nrog lawv cov ceg kom txog thaum tus menyuam mob caj dab.
Lwm qhov kev pom ntawm cov ntshav qab zib neuropathy yog tias daim tawv nqaij ntawm txhais ceg poob lub peev xwm hws thiab nyob qis qis txhua lub sijhawm.Cov tawv nqaij qhuav, raws li koj paub, feem ntau tawg. Cov kab nrib pleb hauv daim tawv nqaij ntawm lub luj taws tuaj yeem hloov mus ua mob. Txij li thaum cov mob txhab no tsis mob, qhov mob ntshav qab zib tsis coj ua kev kho mob, thiab cov txheej txheem txav mus rau kev ua laib. Lwm hom kev mob ntshav qab zib neuropathy yog ib qho uas thaiv txoj kev ua haujlwm ntawm cov leeg hauv ko taw. Qhov tsis txaus ntawm cov leeg tshwm sim, uas ua rau deformation ntawm cov pob txha ntawm ko taw. Hom kev deformation no suav nrog khoov khoov ntiv taw los yog ntiv taw ntiv taw, zoo li lub koov loj thiab lub taw kev nkhaus.
Yog tias ntshav qab zib muaj qhov tsis pom kev zoo, ces kev txhim kho teeb meem ko taw yuav muaj feem ntau dua. Vim tias tus neeg tsis pom qhov zoo uas nws rhais ruam thaum taug kev. Tsis tas li, txoj kev pheej hmoo ntawm tus mob ntshav qab zib taw tau nce siab yog tias tus neeg mob ob txhais ceg tau o tuaj vim lub raum muaj teeb meem. Vim tias edema nce qhov ntim ntawm ob txhais taw. Cov khau ua cramped, nyem thiab raug mob ntawm taw thaum taug kev.
Yuav ua li cas Qhov tseem ceeb tshaj plaws yog kom cov ntshav qab zib kom rov zoo li qub nrog kev noj zaub mov kom tsawg. Qhov no yog qhov tseem ceeb uas tswj tau hom 1 thiab ntshav qab zib hom 2. Li qub koj cov piam thaj - thiab cov kev mob ntshav qab zib neuropathy yuav dhau. Koj yuav tshem tawm lawv nyob hauv ob peb hlis, hauv cov xwm txheej loj - hauv 2-3 xyoos. Kawm thiab ua raws li hom kho mob ntshav qab zib hom 2 (saib hauv qab no) lossis hom 1 kho mob ntshav qab zib.
- Yuav kho tus mob ntshav qab zib hom 2 li cas: ib qib zuj zus
- Cov tshuaj ntshav qab zib hom 2: cov ncauj lus kom ntxaws
- Siofor thiab Glucofage ntsiav tshuaj
- Li cas los kawm kom txaus siab rau kev kawm siv lub cev
Mob mob ib ce yuav yog cov tsos mob ntawm tus mob pob txha, ko taw deformities, doog ntshav, dhau mus, cov khau tsis tsim nyog, lossis kis tau tus mob.
Daim tawv liab liab yog ib qho qhia tias muaj mob, tshwj xeeb yog daim tawv ncig lub qhov txhab hloov liab. Tsis tas li, cov khau tsis zoo xaiv lossis cov thom khwm tuaj yeem rub cov tawv nqaij.
Txhais ceg o yog qhov cim ntawm o, kis tus mob, xaiv khau tsis raug, lub plawv tsis ua haujlwm, lossis ntshav khiav tsis zoo hauv cov hlab ntsha.
Kev nce hauv qhov kub ntawm daim tawv nqaij txhais tau hais tias muaj mob los yog mob ua kom lub cev tab tom txwv kom tsis txhob cuam tshuam tab sis tsis tuaj yeem tiv thaiv vim tias lub cev tiv thaiv kab mob tsis muaj zog los ntawm ntshav qab zib.
Txhua qhov kev puas tsuaj rau ntawm daim tawv nqaij yog qhov txaus ntshai vim tias tus mob tuaj yeem nkag mus.
Corns txhais tau hais tias nkawm khau yog xaiv tsis raug, thiab thaum taug kev thauj mus los ntawm lub ko taw tsis tau faib tsis zoo.
Cov kab mob pwm ntawm cov rau tes thiab tawv nqaij ntawm tus taw, kev rau tes ntawm tes - tuaj yeem ua rau muaj kab mob hnyav.
Pus ntws tawm ntawm lub qhov txhab - ib qho tsos mob ntawm kev kis tus kab mob.
Lameness lossis nyuaj taug kev tuaj yeem qhia txog teeb meem sib koom ua ke, muaj mob hnyav, lossis cov khau raug xaiv tsis zoo.
Kev ua npaws lossis ua daus no ua ke nrog lub qhov txhab ntawm ob txhais ceg yog qhov qhia tias muaj tus mob hnyav uas ua rau tuag taus lossis txiav ntawm tes taw
Daim tawv liab liab kis tau thoob ib puag ncig lub qhov txhab - uas txhais tau hais tias kev kis tau kis mob ntxiv, lub cev tiv thaiv tsis tau nws, thiab nws xav tau kev pab.
Loog ntawm ob txhais ceg yog qhov taw qhia ntawm qhov tsis zoo ntawm lub paj hlwb (kev mob ntshav qab zib neuropathy).
Mob taub hau kuj yog cov tsos mob ntawm tus mob ko taw, tab sis nws yog cais ua ke. Nyeem kab lus “Mob caj pas mob ntshav qab zib: yuav kho li cas.”
Cov tsos mob ntxiv ntawm cov mob ntshav tsis txaus (sib quas ntus zuj zus):
- mob hauv ceg, uas sib zog thaum taug kev thiab chaw so thaum so,
- cov plaub hau nres zuj zus ntawm pob taws thiab taw,
- daim tawv nqaij ntawm ob txhais ceg coarsens thiab dhau los ua qhuav.
- calluses
- hlwv
- ntsia hlau ingrowth,
- ntiv tes xoo bursitis
- plantar pob cos,
- rauj curvature ntawm ntiv tes,
- qhuav thiab chapped daim tawv nqaij
- fungal kab mob ntawm daim tawv nqaij ntawm tus taw (epidermophytosis ntawm ko taw),
- ntsia thawv pwm.
Corns tshwm sim thaum qee qhov ntawm ko taw yog raug hnyav dhau los yog txhaws dab tsi. Raws li txoj cai, qhov laj thawj yog qhov tsis zoo xaiv cov khau. Nws raug cai pom zoo tias corns yuav tsum tau ua tib zoo tshem tawm nrog pob zeb pumice tom qab da dej. Dr. Bernstein cov khoom: Tsis txhob tshem tawm cov corns txhua! Tsis txhob ua koj tus kheej thiab tsis pub ib tus twg, suav nrograu tus kws kho mob. Vim tias lub qhov txhab zoo yuav nyob rau ntawm qhov chaw tshem ntawm cov pob kws, uas zoo siab heev yuav dhau los ua lub voos.
Dr. Bernstein taw qhia tias kev tshem cov pob txha caj dab yog qhov tseem ceeb tshaj plaws ua kom mob, uas mob ces kis tau. Tom ntej no - kev lom zem thiab cais tawm ... Tsis txhob tshem cov corns, kev txiav txim thiab hnav cov khau zoo orthopedic. Tom qab ntawd, lub thauj khoom ntawm ko taw thaum taug kev yuav muab faib kom raug, thiab tus cwj pwm yuav maj mam dhau los ntawm lawv tus kheej.
Cov hlwv hlwv ua rau thaj tsam ntawm daim tawv nqaij uas muaj kua. Cov hlwv yog tsim vim qhov tseeb tias cov khau txuas ntxiv txhuam ib thaj chaw ntawm ko taw. Lub ntsej muag hlwv kuj tuaj yeem tshwm sim yog tias koj hnav khau tsis muaj nkawm thom khwm. Txhawm rau kom tsis txhob o, nkawm khau yuav tsum zoo thiab tsis txhob mus yam tsis muaj thom khwm. Yog tias sawv hlwv ntawm txhais ceg, tus neeg mob ntshav qab zib yuav tsum mus ntsib kws kho mob tshwj xeeb. Tus kws kho mob yuav siv cov ntaub qhwv no kom raug. Yog hais tias muaj tus mob tshwm sim, tus kws kho mob yuav tshem tawm cov kua paug los ntawm lub hlwv thiab sau tshuaj.
Cov ntsia hlau loj zuj zus yog tias ib tug neeg tsis txiav nws zoo lossis ris txoj hlua khau nruj. Tsis txhob txiav cov ntsia hlau ib ncig ntawm cov npoo. Nws raug nquahu kom tsis txhob txiav lawv nrog txiab, tab sis kom ua lawv nrog cov ntsia hlau ntawv. Tus neeg mob uas muaj ntshav qab zib tsis tuaj yeem sab laug yog tias tsis muaj tus ntsia hlau pleev, nws yuav tsum tau mus ntsib kws kho mob. Tej zaum tus kws kho mob txiav txim siab tshem tawm ib feem ntawm cov ntsia hlau kom tiv thaiv kom tsis txhob txhav ntxiv. Qhov no yog qhov tsis zoo tshaj li qhov mob viav vias, kev txhawm rau txhawm rau thiab kev txiav tawm. Yog tias muaj kab mob tau tshwm sim hauv cov ntiv taw, tus kws kho mob yuav sau ntawv muab tshuaj tua kab mob.
Bursitis yog qhov sib txuam ntawm sab nraud ntawm tus ntiv taw loj. Ua haujlwm dhau sijhawm, nws tuaj yeem ua tiav nrog cov pob txha pob txha thiab kua dej. Bursitis yog tsim yog tias tus ntiv tes xoo deviates rau sab ntawm lwm tus ntiv tes. Qhov no tuaj yeem yog teeb meem raws keeb kwm. Siab heels thiab taw ntiv taw khau kuj ua rau koj muaj kev pheej hmoo. Txhawm rau tiv thaiv kom txhob mob bursitis los ntawm kev loj hlob, tus kws kho mob yuav qhia kom siv cov insoles muag rau khau. Qhov mob thiab qhov mob o tau dim pa nrog tshuaj. Yog tias bursitis ua rau mob ntau zaus uas mob hnyav, ces nws yuav raug tshem tawm phais. Txog kev tiv thaiv, hnav khau uas haum koj qhov loj me.
Plantar cov pob txhaws yog qhov kev loj hlob me me ntawm nqaij-xim. Qee zaum lawv muaj cov pob me me hauv ncas dub. Cov kab mob Plantar ua rau tib neeg mob papillomavirus. Tus kab mob no nkag mus rau los ntawm qhov mob txhab me me ntawm daim tawv nqaij ntawm ob txhais ceg. Mob pob tuaj yeem tuaj yeem mob thiab cuam tshuam kev taug kev. Txhawm rau txo lawv txoj kev sib kis, ntxuav koj txhais tes txhua zaus koj kov koj cov txhuam hniav. Kev taw yuav tsum yog qhov ua kom huv thiab qhuav. Tsis txhob liab qab rau hauv cov chaw pej xeem. Koj tus kws kho mob yuav hais kom tshem tawm cov kab mob cog ntoo tawm nrog cov laser, kua nitrogen, lossis phais mob hauv qab cov tshuaj loog hauv zos.
Lub rauj-zoo li curvature ntawm cov ntiv tes tshwm sim vim qhov tseeb tias ib lossis ob lub pob qij txha ntawm cov ntiv taw me me khoov tsis zoo ib yam. Qhov no yog vim tias cov leeg hauv ko taw tsis muaj zog vim yog neuropathy mob ntshav qab zib. Yog hais tias muaj teeb meem los ntawm curvature ntawm cov ntiv tes, ces tus duab ntawm lub taw yuav hloov. Tej zaum yuav muaj kev nyuaj taug kev. Nws yog qhov nyuaj rau nrhiav cov khau haum. Qhov phom sij tseem ceeb - qhov txhab thiab mob txhab uas yuav ua rau kis tau yooj yim tuaj yeem tshwm sim. Kev kho - orthopedic insoles hauv khau, nrog rau cov tshuaj rau qhov mob thiab o. Qee zaus, muaj kev phais mob.
Qhuav thiab tawg ntawm daim tawv nqaij yog ntxhib thiab tev. Cov tawv nqaij hloov pauv, nws tuaj yeem khaus. Muaj ntau ntau yam ua rau cov teeb meem no - ntshav qab zib siab, puas paj hlwb, thiab ntshav khiav tsis zoo rau cov ceg. Tawg ntawm daim tawv nqaij yog qhov txaus ntshai vim tias muaj kab mob nkag mus hauv lawv. Ua kom cov dej noo thiab ywj siab ntawm daim tawv nqaij ntawm koj txhais taw. Ntub roj nws tsis tu ncua nrog roj raws li tau piav qhia hauv qab no hauv tshooj "Saib Xyuas Ko Taw: Cov Lus Qhia Ntxiv". Yog tias koj tsis tuaj yeem tiv thaiv thiab tawv nqaij ua kom tsis zoo, mus ntsib kws kho mob. Koj tuaj yeem muab tshuaj rau cov tshuaj pleev kom haib. Tham nrog koj tus kws kho mob txog tshuaj vitamin A thiab tshuaj zinc.Tsis txhob lam tau lam siv cov nyiaj no! Yog lawm, qhov tseem ceeb tshaj plaws yog kom cov ntshav qab zib kom qis thiab ua kom nws nyob qis qis.
Cov kab mob pwm ntawm cov tawv nqaij ntawm tus taw yog qhia los ntawm cov tsos mob - khaus, kub, liab, puas nyob rau hauv daim tawv nqaij. Cov fungus muab ntau rau ntawm ib leeg thiab nruab nrab ntawm cov ntiv taw. Txhawm rau tiv thaiv nws, khaws koj ob txhais taw qhuav li sai tau. Tsis txhob hnav tib nkawm khau txhua lub sijhawm. Muaj ob peb khub ntawm nkawm khau los hloov lawv. Thaum koj hnav ib qho, lwm tus dries. Thaum sijhawm tsaus ntuj, nkawm khau tsis muaj sijhawm rau kom qhuav. Hauv cov chaw pej xeem tsis mus ko taw, hnav khau khiab. Cov thom khwm yuav tsum yog cov ntaub ntawv tsim - paj rwb lossis ntaub plaub. Cov tsev muag tshuaj yuav muag cov tshuaj pleev plhws thiab tshuaj tsuag tiv thaiv cov kab mob ntawm cov ceg. Yog tias tsim nyog, tus kws kho mob yuav muab tshuaj rau cov ntsiav tshuaj muaj zog.
Ntsia thawv pwm - tib txoj kev tiv thaiv ib yam nkaus li rau cov kab mob fungal ntawm daim tawv nqaij ntawm tus taw. Cov pwm ua rau cov ntsia hlau nruj, nws nyuaj rau txiav lawv. Cov xim ntawm cov ntsia hlau pauv. Qee zaum cov ntsia hlau cuam tshuam los ntawm fungus poob tawm. Tus kws kho mob tuaj yeem sau tshuaj, tshem tus ntsia thawv phais lossis tshuaj lom neeg. Ntsia thawv pwm yog tseem kho nrog ib lub laser, tab sis tseem muaj kev sib cav ntawm cov kws tshaj lij txog kev pab zoo li no.
Kev kuaj mob
Cov teeb meem ceg hauv ntshav qab zib tuaj yeem tshwm sim los ntawm qhov ua kom tsis muaj zog ntawm cov hlab ntsha, txhaws ntawm cov hlab ntshav uas pub ob txhais ceg, lossis ob qho tib si. Qhov no yog hu ua tus mob neuropathic, ischemic, lossis kev sib xyaw ntawm cov mob ntshav qab zib taw ko taw. Tus kws kho mob txiav txim siab daim ntawv ntawm tus kabmob thiab ua kev kuaj mob txhawm rau kho tus kws kho mob kom zoo.
Dab tsi kws kws kho mob ua
- Ultrasound ntawm cov hlab ntsha ntawm qhov qis qis,
- M-hom ultrasound dopplerography (USDG),
- ntsuas ntawm pob luj-brachial Performance index,
- transcutaneous oximetry.
Muaj lwm txoj kev tshawb nrhiav - radiopaque angiography. Tus neeg sawv cev rau pa hluav taws xob yog txhaj rau hauv tus neeg mob cov ntshav, uas "ci ntsa iab" los ntawm cov hlab ntsha. Txoj kev tshawb no yog qhia ntau tshaj plaws, tab sis tuaj yeem ua phiv los ntawm lub raum. Yog li ntawd, nws tau sau tseg nrog kev ceev faj. Txawm li cas los xij, yog tias kev phais mob tau npaj los kho cov ntshav hauv cov hlab ntsha, ces nws yog qhov yuav tsum tau ua.
Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.
Kev ntsuas yog nyob ntawm seb cov ntshav qab zib ntev npaum li cas, kho tus neeg mob tau zoo npaum li cas, txawm nws yuav mob siab ua raws li kev coj ua li cas. Cov kab mob tseem ceeb kuj tseem ceeb - atherosclerosis, kub siab, mob ntshav qab zib hauv ob lub raum thiab qhov muag, senile dementia. Yog li, thaum muaj tus mob ntshav qab zib mus cuag kws kho mob vim tias nws txhais ceg muaj teeb meem, kev tshuaj xyuas yuav tsum muaj txhij txhua.
- Cov Ntsuas Ntshav Qab Zib - Cov Ntawv Qhia ntxaws
- Cov ntshav qab zib cov qauv - dab tsi koj yuav tsum siv zog
Charcot tus taw (mob ntshav qab zib osteoarthropathy)
Charcot tus taw (mob ntshav qab zib osteoarthropathy) yog qhov mob hnyav rau ntshav qab zib, vim qhov kev sib koom ua ke thiab cov nqaij mos ntawm ko taw raug rhuav tshem, nws cov duab hloov. Thaum ntxov, cov pob qij txha ua txhav thiab o. Tom qab ntawd, cov leeg ua kom tsis muaj zog thiab nres kom tiv taus nrog lub nra.Vim tias qhov no, muaj teeb meem nrog cov pob txha, lub taw yog deformed. Txhua yam no feem ntau tshwm sim sai sai.
Qhov laj thawj rau kev txhim kho ntawm Charcot tus taw yog mob ntshav qab zib neuropathy. Lub hauv paus puas tsuaj tsis tuaj yeem xa cov lus qhia los ntawm txhais ceg rau lub hlwb. Yog li ntawd, ib tus neeg siv tsis yog ua rau nws txhais ko taw thaum taug kev. Kev puas tsuaj ntawm pob qij txha thiab pob txha ua rau mob, tab sis tus mob ntshav qab zib tsis hnov nws. Nws tseem txuas ntxiv kev kub siab rau ntawm txhais ko taw cuam tshuam txog thaum txoj kev hloov ntawm tus ceg yuav pom tseeb meej.
- daim tawv nqaij ntawm txhais ko taw tig liab, qhov kub ntawm nws nto
- txhais ceg o o
- qhov mob tuaj yeem hnov tau, tab sis ntau zaus tsis tuaj yeem vim yog neuropathy.
Kev kho mob ntshav qab zib osteoarthropathy - txhais ceg tau muab tso rau hauv ib daim ntaub qhwv tshwj xeeb ua los ntawm cov ntaub ntawv polymer. Qhov no ua rau nws ua tau kom txo tau qhov thaj chaw ntawm ko taw. Nws yog qhov yuav tsum tau hais tias tus kws kho mob yuav sau ntawv rau tus neeg mob kom taug kev nrog cov pas nrig lossis txawm nkag mus rau hauv lub rooj muaj log. Qee lub sijhawm cov duab pob txha los coj rov qab qhov qub nrog kev phais.
Kev Tiv Thaiv
Kev tiv thaiv yog ua tib zoo ua raws cov kev cai ntawm kev saib xyuas ko taw thiab kev soj ntsuam txhua hnub ntawm tus taw. Cov lus qhia txog kev saib xyuas ko taw yog cov hauv qab no. Tam sim no peb yuav tham txog yuav ua li cas los kuaj xyuas tus taw ntawm tus neeg mob ntshav qab zib, dab tsi yuav tsum saib. Kev tshaj tawm yuav tsum tau kuaj xyuas txhua hnub, ua ntej los ntawm sab saud, thiab tom qab ntawd los ntawm ib sab. Xyuas cov tawv nqaij ntawm koj cov ntiv taw kom zoo. Koj yuav xav tau daim iav rau qhov no. Nws raug nquahu tias lwm tus yuav koom nrog kev tshuaj xyuas ko taw, thiab tsis yog tus mob ntshav qab zib nws tus kheej.
Kev ua haujlwm ntawm kev tshuaj xyuas tsis yog tsis muaj qhov ploj yog qhov pom tseeb tshiab, o, o tuaj, thaj chaw mob, tawv nqaij, lossis lwm yam kev hloov tshwm sim. Cov duab, xim thiab kub ntawm lub taw yuav txawv. Hnov mus kov - tsis muaj zog lossis hloov siab ntxiv. Yog tias koj pom tias cov kev hloov pauv mus rau qhov phem dua - tag kis sawv ntxov, sab laj nrog kws kho mob, tsis txhob rub. Tej zaum yuav muaj cov pob txha me thiab pob txha tawg, vim tias txhais ko taw o, nws lub cev hloov pauv. Qhov no yuav tsum tau maj saib xyuas los ntawm kws kho mob.
Txawm tias muaj kev puas tsuaj me me tuaj yeem hloov mus rau qhov mob trophic, uas yuav ua tau ntev thiab kho kom zoo. Thaum kis tau tus kab mob ntawm lub qhov txhab, mob caj dab yuav tshwm sim, thiab nws yuav tig tawm tias tsuas yog txiav mus ua haujlwm yuav cawm tus mob ntshav qab zib kom tuag.
Yog hais tias daim tawv nqaij ntawm tus taw yuav tsaus ntuj nti los yog rov ua dua lub teeb, cov plaub hau ploj mus rau nws - qhov no txhais tau hais tias cov ntshav muab rau hauv ceg yuav tsis zoo. Qhov tsis zoo dua ntawm kev muab cov pa oxygen thiab khoom noj khoom haus rau lub hlwb, ntev tshaj qhov kev puas tsuaj rau ntawm daim tawv nqaij kho. Kuaj xyuas yog daim tawv qhov nqaij puas chwv tau kov dua. Ua li no, koj tuaj yeem siv, piv txwv, feathers. Nco ntsoov tias tus neeg mob ntshav qab zib tuaj yeem xav qhov sib txawv ntawm dej sov thiab dej txias thaum lawv txo qis lawv txhais taw mus rau hauv dej. Ua ntej da dej, koj yuav tsum kuaj xyuas qhov kub ntawm dej los ntawm txhais tes. Nyob rau hauv txhua rooj plaub, tus pas ntsuas kub da dej yuav tsum muaj thiab siv.
Mob ko taw ntshav tes taw feem ntau pib txhim kho vim tias tus neeg mob muaj mob ceg, tab sis nws tsis hnov nws. Lub hom phiaj ntawm kev soj ntsuam txhua hnub yog txhawm rau txheeb xyuas cov kev hloov tsis zoo uas cov ntshav qab zib tsis tau ceeb toom thaum lub caij lawv tshwm sim. Cov kws kho mob tam sim no tau hnav khaub ncaws thiab pleev tshuaj niaj hnub zoo. Cov no yog cov cuab yeej uas pab kho qhov mob ntawm ob txhais ceg, tiv thaiv kev kis kab mob, mob caj dab thiab txiav tes taw. Tab sis tseem, koj yuav tsum tau mus ntsib kws kho mob raws sij hawm. Thaum kev ua laib twb pib, tsis muaj lwm txoj hauv kev txiav kiag li.
Ua raws li cov cai rau kev saib xyuas ko taw, kuaj xyuas ko taw txhua hnub thiab sab laj nrog kws kho mob sai li sai tau muaj qee yam tsis txaus ntseeg rau koj. Txoj hauv kev los tiv thaiv thiab kho tus mob ntshav qab zib yog kom cov ntshav qab zib kom tsis huv, thiab tom qab ntawv tswj nws qhov qub kom zoo li qub. Qhov no tuaj yeem ua tiav nrog hom 1 thiab ntshav qab zib 2 ntshav qab zib nrog kev noj zaub mov kom tsawg. Tswj koj cov metabolism hauv - thiab feem ntau ntawm cov tsos mob ntawm tus mob neuropathy yuav dhau sijhawm. Hauv tshwj xeeb, qhov rhiab siab ntawm ob txhais ceg yuav rov qab los.Kuj ua kev puas tsuaj rau cov tawv nqaij ntawm txhais ceg yuav kho tau. Tab sis, hmoov tsis zoo, yog tias cov hlab ntshav txhaws, tom qab ntawd lawv txoj kev lav phib tsuas tsis tuaj yeem rov qab. Tsis tas li, yog tias koj tau ua pob txha lov lossis cuam tshuam ntawm cov pob txha ntawm ko taw, ces qhov no tsis tuaj yeem kho.
Kev Saib Xyuas Ko Taw: Cov Lus Qhia Ntxiv
Hauv qab no yog cov cai rau kev saib xyuas ko taw rau hom 1 thiab ntshav qab zib hom 2. Yog tias qhov rhiab siab ntawm ob txhais ceg mus rau qhov kub thiab txias, qhov mob thiab siab yog qhov ploj sai, ces lawv yuav tsum tau ua tshwj xeeb. Nov yog tib txoj hauv kev kom tsis tau nyob ntawm lub rooj ua haujlwm mus rau tus kws phais neeg uas koom nrog kev txiav tes taw.
Tib lub sijhawm, yog tias koj ua txoj haujlwm kho mob ntshav qab zib hom 1 lossis hom kev kho mob ntshav qab zib hom 2 thiab ua kom koj cov ntshav qab zib kom nyob twj ywm thiab li qub, tom qab ntawd dhau sijhawm, txoj hlab ntshav tau rov qab zoo li qub. Tom qab ntawd, txoj kev pheej hmoo ntawm tuag ceg teeb meem hauv ntshav qab zib yog txo qis rau xoom. Rov kho dua ntawm txoj kev puas siab ntsws siv sijhawm tsawg kawg yog ob peb lub hlis, thiab feem ntau yog 1-2 xyoos.
Txiav Luam Yeeb! Kev haus luam yeeb cuam tshuam cov ntshav ncig hauv ob txhais ceg thiab, yog li ntawd, yuav muaj feem ntau uas txiav kev txiav ua haujlwm kom sai dua lossis ntev dua.
Kev phom sij ntawm kev hlawv koj ob txhais ceg yog qhov siab, vim tias qhov rhiab ntawm lub taw mus rau qhov ntsuas kub tsis muaj zog. Khaws koj ob txhais taw kom deb ntawm qhov chaw taws kub li sai tau. Qhov no txhais tau tias tsis muaj qhov cub, lub ua cua sov, lub taub dej kub lossis hluav taws xob pam. Hauv chav dej da dej lossis da dej, qhov dej yuav tsum txias, tsis hais sov txawm tias.
Thaum muaj huab cua txias, hnav thom khwm sov thiab khau ntawm qhov dav txaus kom nws thiaj li tsis ua rau koj txhais taw hauv thom khwm. Txawm hais tias ntshav kev nyob hauv hlab ntsha hauv ob txhais ceg puas tsis zoo tuaj yeem mus kuaj tau ntawm tus kws kho mob lub sijhawm tau txais kev pab los ntawm qhov kev tshawb fawb tsis muaj qhov mob “hloov pauv cev nqaij daim tawv”. Yog tias nws hloov tawm tias nws tau tawg - tsis txhob nyob hauv qhov txias txias ntev dua 20 feeb uake. Tsis txhob mus ko taw, mus kev, thiab tsis hais hauv tsev.
Yog tias koj ntub koj txhais taw nrog ib qho tshuaj, tom qab ntawd ua nws raws li koj tus kws kho mob tau qhia. Ntau yam khoom siv uas raug muag thoob rau hauv cov khw muag tshuaj yog qhov muaj kev phom sij rau daim tawv nqaij ntawm tus ceg ntawm tus neeg mob ntshav qab zib. Piv txwv, iodine, hydrogen peroxide thiab salicylic acid. Tsis txhob siv tshuaj iodine lossis hydrogen peroxide rau tshuaj ntxuav koj ob sab ceg, txawm tias koj tus kws kho mob qhia nws. Yuav cov iodine tshwj xeeb hauv cov tsev muag tshuaj uas tsis hlawv ntawm daim tawv nqaij, thiab ua kom nws zoo.
Yog tias koj muaj tawv qhuav ntawm koj txhais taw, tom qab ntawd nug kws kho plawv lossis kws kho mob kom tsis txhob muab koj beta-blockers rau cov ntshav siab lossis mob plawv. Vim tias kev noj tshuaj los ntawm pawg beta-blocker yuav txuas ntxiv ua kom lub cev tsis huv ntawm cov tawv nqaij ntawm koj ob txhais ceg. Yuav ua li cas kho mob plawv tsis muaj kev phom sij "tshuaj" tshuaj, nyeem ntawm no - qhov no yog qhov chaw kho mob ntshav siab, akin to Diabetes-Med.Com.
Yog hais tias corns tshwm rau koj ob txhais ceg, ces tsis txhob sim tshem lawv! Tsis txhob siv cov ntsia hlau, pob tawg ntuag, lossis lwm yam khoom siv rau qhov no. Tsis txhob tshem tawm koj tus kheej thiab tsis txhob cia ib tus neeg ua qhov no, suav nrog tus kws kho mob hauv pob zeb. Cov tawv nqaij tawv tawv ntawm kev hu xov tooj yog kev tiv thaiv cov plaub hau ntawm taw ntawm kev puas tsuaj vim yog cov khau tsis zoo. Yog tias koj tshem tawm cov pob txha, ces qhov kev tiv thaiv no ploj mus.
Kev tshem tawm ntawm cov pob txha nyob rau hauv cov neeg mob ntshav qab zib yog qhov tshwm sim feem ntau ntawm kev zawv plab, uas tom qab ntawd coj mus rau kev txiav tawm ntawm tus taw. Yog hais tias hu rau ntawm ob txhais ceg, koj yuav tsum tau hloov mus rau qhov xis nyiam orthopedic nkawm khau. Yog tias cov khau tau xaiv kom raug, ces yuav tsis muaj kev ris nra rau lub luj taws, thiab nrog rau lub sijhawm yuav tsum ploj lawv tus kheej.
Yog tias tus neeg mob ntshav qab zib muaj cov ntiv taw thinner, ces nws yog qhov yuav tsum tau nrhiav kom paub yog tias cov pwm yog qhov ua rau qhov no. Yog hais tias nws hloov tawm tias qhov no yog qhov tiag tiag ua rau mob fungal, ces tus kws kho mob yuav tshaj tawm txoj kev kho uas yuav tsum tau ua ntawv thov rau cov ntsia hlau cuam tshuam ob zaug ib hnub. Hmoov tsis zoo, cov pwm feem ntau yuav tsum tau kho 12 lub hlis lossis ntev dua. Tsis tsuas yog muaj cov kev kho hauv zos xwb, tab sis kuj tseem noj cov tshuaj tua kab mob.
Nws raug nquahu kom luam tawm ntawm lub tshuab luam ntawv cov kev cai rau kev saib xyuas ko taw, uas tau muab rau saum toj saud, nrog rau ntu "Ua li cas thiaj saib tau ko taw huv si." Rov nyeem cov ntaub ntawv no ib ntus zuj zus thiab qhia cov neeg hauv yim neeg txog tus mob ntshav qab zib. Yog koj ua tib zoo ua raws li ib hom 1 kho kho mob ntshav qab zib hom los yog hom kho ntshav qab zib hom 2, koj tuaj yeem tiv thaiv koj cov ntshav qab zib kom nyob thiab nyob li qub. Tom qab ob peb lub hlis, qhov mob rhiab ntawm cov leeg hauv ceg yuav pib zoo zuj zus. Tsis pub dhau tom qab 2-3 xyoos, nws yuav rov qab ua kom tiav. Txoj kev pheej hmoo ntawm tus mob ko taw mob ntshav qab zib lossis kev zwm plab yuav poob txog yuav luag tas li.
Yuav ua li cas yuav khau
Yuav lossis xaj rau txhua nkawm khau tsis yog thaum sawv ntxov thiab tsis yog thaum nruab hnub, tab sis thaum yav tsaus ntuj, vim tias thaum yav tsaus ntuj qhov siab tshaj plaws yuav tsum tau ntev. Cov khau yuav tsum xis nyob thaum koj sim nrog lawv thawj zaug. Nws yuav tsum tsis tsim nyog los hnav khau tshiab. Cov khau nrog cov ntiv taw taw yuav tsum tsis txhob hnav. Koj xav tau khau nrog qhov chaw dav thiab tob rau cov ntiv taw. Orthopedic nkawm khau yog qhov kev xaiv zoo. Nws tsis zoo nkauj zoo nkauj heev, tab sis nws xis nyob thiab nce siab tias koj yuav tuaj yeem cawm koj ob txhais ceg yam tsis muaj kev puas tsuaj.
Tsis txhob hnav khau khiab nrog txoj siv sia ntawm koj cov ntiv taw. Vim tias cov pluaj tawv tuaj yeem rub koj cov tawv nqaij. Cov hlwv yuav tshwm sim, uas tom qab ntawd yuav tig mus ua qhov txhab. Tsis txhob hnav tib lub khau rau ob peb hnub ua ke. Muaj ob peb khub ntawm xis khau los hloov lawv txhua txhua hnub. Txhua lub sijhawm, ua ntej muab khau, tshawb xyuas nws los ntawm sab hauv. Yuav tsum tsis txhob muaj cov khoom thib peb - pebbles, thiab lwm yam.
Tsis txhob hnav cov thom khwm lossis cov thom khwm nrog cov hlua khi uas nruj me ntsis uas ua kom txhais ceg thiab ua kom cov ntshav ncig cov hlab ntsha. Tsis txhob hnav thom khwm nrog qhov lossis darned. Tsis txhob hnav cov thom khwm uas dhau lawm lossis nrog cov tuab tuab. Cov teeb meem thom khwm tuaj yeem cuam tshuam cov tawv nqaij ntawm ob txhais ceg, ua rau lub hlwv ua ntej, tom qab ntawd mob txhab thiab tom qab ntawd txhawm rau txhawm rau txhawm rau txhawm rau thiab txhaws. Txuag ntawm cov ntaub pua chaw tuaj yeem ua rau tsis muaj kev cuam tshuam vim kev xiam oob khab.
Kev nyiam huv ko taw
Txhua hnub koj yuav tsum tau kuaj xyuas tus taw ntawm tus neeg mob ntshav qab zib, txawm hais tias muaj kev raug mob tshiab lossis cov cim qhia tias nkawm khau tsis xis nyob. Nco ntsoov tias tsis muaj blisters, corns, kab nrib pleb, kab ntawm fungus lossis lwm yam kev puas tsuaj rau ntawm daim tawv nqaij ntawm ob txhais ceg. Kuj kuaj xyuas cov tawv nqaij ntawm koj cov ntiv taw. Tshawb xyuas cov roj ib leeg nrog daim iav. Yog tias tus neeg mob ntshav qab zib ua tsis tau nws tus kheej, ces nws xav tau kev pab ntawm lwm tus neeg. Yog tias koj pom muaj kev puas tsuaj rau koj txhais ceg, tiv tauj koj tus kws kho mob tam sim ntawd.
Tsis txhob txheeb xyuas qhov ntsuas kub ntawm cov dej hauv chav dej nrog koj txhais ko taw, tab sis tsuas yog siv koj txhais tes, txawm tias zoo dua - yuav thiab siv cov ntsuas kub da dej. Cov dej kub hauv chav dej yuav tsum tsis siab tshaj 33 degrees Celsius. Vim tias txawm tias dej kub ntawm 34 degrees Celsius tuaj yeem ua rau kub nyhiab yog tias ntshav khiav hauv cov hlab ntsha cuam tshuam.
Tsis txhob raus koj ob txhais taw hauv dej ntev dua 3-4 feeb. Txwv tsis pub, daim tawv nqaij ntawm taw yuav tau ntub, thiab rau cov tawv nqaij tsau, qhov kev pheej hmoo ntawm kev puas tsuaj yuav nce ntxiv. Yuav kom ua raws li txoj cai no, tsis txhob nyob ntev rau hauv chav dej lossis hauv tus da dej. Ntxuav sai thiab tawm mus. Tsis txhob ntub dej. Yog tias muaj kev hem thawj ntawm kev tsim tus mob ko taw, yog li ntawd huab cua zoo yog qhov txaus ntshai. Ntub nrog nkawm khau thiab taw - tsis zoo.
Yog tias koj nyiam ua luam dej hauv pas dej, tom qab ntawd ua ntej nce mus rau hauv dej, thov siv cov roj ntxhia (roj av jelly) rau ntawm daim tawv nqaij ntawm koj txhais taw los tiv thaiv lawv ntawm dej. Tom qab koj ua tiav ua luam dej, tshem tawm cov roj av jelly los ntawm koj txhais taw nrog phuam.
Yog tias koj cov tawv nqaij ntawm koj txhais taw cia li qhuav, ntub nws tsawg kawg ib zaug ib hnub, ntau npaum li ua tau. Qhov no yuav txo qhov kev pheej hmoo ntawm kev tawg. Cov roj pleev nplaum thiab roj pleev yog qhov haum.
Nyob rau hauv huab cua txias, hnav cov thom khwm sov ua los ntawm cov khoom siv ntuj thiab xis khau ntawm qhov loj me. Tsis txhob hnav thom khwm nrog txoj hlua khi kom nruj uas yuav ua kom txoj hlab ntshav ruaj khov thiab ua rau cov ntshav khiav tsis zoo.Yog tias koj cov ntshav ncig tsis zoo hauv koj ob txhais ceg, tsis txhob nyob hauv qhov txias ntev ntev dua 20 feeb uake.
Txiav toenails xwb yog tias koj pom meej meej tias koj ua dab tsi. Yog tsis yog, nug sab nraud pab rau qhov no. Yog tias koj xav hais tias koj cov ntiv taw muaj kev cuam tshuam los ntawm cov pwm, qhia tus kws kho mob thiab nws yuav sau ntawv kho. Koj txhais taw yuav tsum qhuav thiab sov txhua lub sijhawm, tsis yog khov, tsis txhob muab dej dhau, thiab tawm hws.
Mob ntshav qab zib kho ko taw
Kev kho tus kab mob ko taw yog ib qho kev ntsuas ntawm ntau thaj chaw:
- Qhia tus neeg mob hauv kev txawj - kev soj ntsuam txhua hnub ntawm tus taw, hloov cov ris tsho thiab lwm yam yuav tsum ua.
- Tswj suab thaj, ntshav siab thiab ntshav siab cov roj.
- Kev kho mob mob - kev hnav khaub ncaws, kev phais mob tshem tawm ntawm cov ntaub so ntswg uas tsis tuaj yeem.
- Tshuaj tua kab mob los tua kab mob.
- Txoj Haujlwm Tag Nrho Cov Cuam Tshuam Hnav, uas txo qhov chaw ntawm ko taw los ntawm kev kub siab dhau.
- Rov txhim kho ntshav cov ntshav hauv ob txhais ceg, suav nrog kev phais vascular.
Feem ntau nyob rau hauv cov neeg mob ntshav qab zib, lub paj hlwb tsis zoo thiab yog li ntawd ob txhais ceg tsis raug mob, txawm hais tias muaj kev puas tsuaj. Nyob rau tib lub sijhawm, kho tus mob ko taw mob ntshav qab zib yog qhov muaj teeb meem ntau. Yog li, qee cov neeg mob raug ntxias kom cia tus kab mob ploj mus. Raws li qhov tshwm sim, lawv yuav nyob ntawm lub rooj ua haujlwm rau tus kws phais neeg. Vim tias yog tias cov kab mob microbes tso tawm hauv cov qhov txhab ntawm ob txhais ceg dawb, tom qab ntawd lawv ua rau kev ua laib. Kev txiav txim siab tuaj yeem tiv thaiv tau nkaus xwb yog tias txoj kev kho mob tau pib raws sijhawm thiab tsoomfwv tau ua kev rau txim.
Yuav kho cov rwj nyob ntawm ko taw li cas
Mob qog nqaij nyob rau ntawm taw ntawm cov neeg mob ntshav qab zib feem ntau tsis ua rau mob vim yog neuropathy - tsis hnov mob tsis zoo. Tab sis qhov no tsis yog xov xwm zoo, tab sis theej teeb meem. Vim tias qhov tsis muaj mob yuav ua rau cov neeg mob mus rau kev ntxias kom tsis txhob kho. Xws li cov tsis muaj kev mob ntshav qab zib caum tau thaum tsuas yog thaum txhais ceg pib rot. Ua tib zoo saib xyuas kev kho mob thiab tiv thaiv tus mob ko taw rau hauv kev tiv thaiv kom tsis txhob txiav tes taw, ua kom lub cev muaj peev xwm taug kev ib txwm muaj.
- Ua tib zoo tswj ntshav qab zib cov ntshav yog xav tau, txwv tsis pub yuav tsis muaj kev vam meej.
- Nws yog qhov tsim nyog kom tshem tawm cov ntaub so ntswg uas tsis tuaj yeem. Rau qhov no, tsis tsuas yog muaj kev phais pob phais, tab sis tseem muaj lwm txoj hau kev (saib hauv qab).
- Lub qhov txhab yuav tsum ua kom huv si thiab tiv thaiv los ntawm lwm qhov sab nraud.
- Kuaj xyuas thaj chaw puas txhua hnub, hloov cov ntaub qhwv, thiab ua raws li lwm tus kws kho mob cov lus qhia.
- Sim taug kev kom tsawg kom txog thaum qhov mob txhab ntawm ko taw thiaj zoo.
- Taug kev barefoot yog txwv tsis pub hnav.
Txij li xyoo 2000, cov kws kho mob tau tshwm sim nyob rau hauv cov kev saib xyuas ntawm ntau ntau yam kev hnav khaub ncaws rau kev kho mob ko taw hauv cov neeg mob ntshav qab zib. Kev hnav khaub ncaws tuaj yeem nqus cov kua paug ntawm lub qhov txhab thiab muaj cov tshuaj tua kab mob. Siv kev hnav khaub ncaws, koj tuaj yeem siv cov enzymes rau lub rwj uas tshem tawm cov nqaij mos uas tsis mob, tsis txhob tshem lawv phais. Cov kev hnav khaub ncaws niaj hnub no yog qhov ua tau zoo uas ua kom muaj kev cuam tshuam zoo.
Nws siv los ua cov qhov txhab yuav tsum tau rov qab qhib vim tias huab cua pab lawv zoo. Cov kws kho mob tam sim no paub tias qhov txhab zoo kho sai, thiab kev pheej hmoo kis tus mob tsawg dua yog tias koj ua kom lawv noo thiab npog lawv nrog ntaub qhwv. Txij li thaum ntxov xyoo 2000s, kev kho rau mob txhab rau ko taw tau zoo dua. Muaj txawm tias hnav ris tsho nyob hauv daim ntawv ua npuas dej los yog zaj duab xis pob tshab, hloov cov ntaub qhwv zoo qub. Kev xaiv ntawm hom kev kho mob tshwj xeeb yog nqa los ntawm kws kho mob. Txawm li cas los xij, qhov tseem ceeb ntawm kev tswj ntshav qab zib tau zoo tsis tau muab tso tseg.
Yog tias tus neeg mob tsis kam mus pw hauv tsev kho mob tab sis xa mus tsev kom tau txais kev kho mob, tom qab ntawd, ntxiv rau kev hnav khaub ncaws, tshuaj tua kab mob hauv cov ntsiav tshuaj tuaj yeem raug tshuaj. Lawv yuav tsum tau ua raws nraim li cov kws kho mob tau hais tseg. Koj tsis tuaj yeem txo qhov koob tshuaj lossis tsis nce ntxiv rau kev sib cav. Ua ntej sau ntawv yuav tshuaj tua kab mob, tus kws kho mob tuaj yeem xa cov qauv ntawm cov nqaij mos los txhawm rau txhawm rau txhawm rau txheeb xyuas kom paub seb tus kab mob twg yog cov mob tshwj xeeb rau kev kis tus kab mob. Koj yuav tsum tau mus ntsib kws kho mob ib zaug nyob rau ob peb hnub rau kev rov kuaj mob ntxiv.
Kev mob ntawm txhais taw feem ntau tshwm sim vim qhov tseeb tias lub nra tsis muab xa tawm kom zoo thaum taug kev. Txhawm rau kho tus neeg mob los ntawm qhov txhab kiav txhab, nws tuaj yeem tsim nyog kom txo qis siab ntawm ntu qhov cuam tshuam ntawm ko taw. Txhawm rau ua qhov no, siv tag nrho Cov Tuav Sib Nruag Hnav, uas tau piav qhia meej hauv qab no. Ntxiv nrog rau cov ntaub qhwv, tus neeg mob yuav xav tau kom khau orthopedic. Tej zaum tus kws kho mob yuav hais kom koj coj khaub noom thaus lossis mus rau hauv lub rooj muaj log. Yog tias qhov no pab tiv thaiv kev txiav tes txiav taw, tsis txhob tsis kam lees.
Hnav Tsoos Tag Nrho Cov Tiv Tauj
Txhawm rau kom tsis txhob muaj kev txwv ntawm kev mob ko taw los ntawm kev siab tshaj yog qhov mob tseem ceeb rau kev ua tiav ntawm kev txhab ntawm ib leeg. Thiab tseem muaj ntau dua, rau kev kho mob ntshav qab zib neuroosteoarthropathy (Charcot txhais taw). Cov kev tshawb fawb tau pov thawj pom tseeb tias qhov cuab yeej siv tau zoo yog siv Tag Nrho Cov Nrig Tag Nrho Tus neeg siv kev hnav khaub ncaws polymer.
Daim ntaub qhwv no txwv txoj kev txav ntawm ko taw thiab ceg. Niaj hnub no, nws yog thawj cov cuab yeej los txo cov zaus ntawm cov teeb meem: mob txhab, mob deformations thiab rhuav tshem cov pob qij txha, nrog rau mob caj dab, uas ua rau txiav tes txiav. Tus neeg raug tshem tawm tag nrho tuaj yeem siv tau los ntawm tus kws endocrinologist lossis kws phais mob ntawm chaw kho mob lossis tsev kho mob.
Tag Nrho Cov Nruag Tag Nrho yog cov ntaub qhwv ib nrab ntawm qhov tob tob thiab ko taw, uas yog ua los ntawm cov ntaub ntawv polymeric niaj hnub. Thaum siv nws, thaj tsam cuam tshuam ntawm tus mob ko taw tsis tso rau hauv, vim yog cov txheej txheem hauv qab no:
- Txog li 30% ntawm lub nra yog hloov tawm ntawm ko taw mus rau sab ceg qis.
- Thaj tsam ntawm kev txhawb nqa ntawm lub ko taw nce ntxiv li 15-24%. Hauv qhov no, lub load ntawm cov ntu sib txawv faib ntau tusyees. Yog li, lub siab sib koom ua ke ntawm cov ntsiab lus tseem ceeb txo los ntawm 40-80%.
- Cov hnav ris tsho tiv thaiv kev tiv thaiv los ntawm kev sib txhuam.
- Kev o tuaj ntawm ob txhais ceg yog tsawg dua.
- Tom qab hnav khaub ncaws rau kev tiv thaiv ntxiv thiab tiv taus tus neeg mob, Tag Nrho Cov Cuam Tshuam Tsho Tsho Tiv Thaiv Cov Khaub Ncaws, lub platform uas muaj clasps.
Rau kev txav ntawm txoj kev ntawm tus kheej ua siv orthopedic nkawm khau siv. Hauv qhov xwm txheej no, tus neeg mob tau qhia kom tsis txhob taug kev mus rau 30% ntawm nws qhov deb li ib txwm.
Cov Kev Qhia rau kev siv ntawm ib tug neeg polymer hnav khaub ncaws Tag Nrho Tuav:
- theem mob ntshav qab zib osteoarthropathy,
- ua ntu zus ntev ntawm osteoarthropathy, uas yog qhov nyuaj los ntawm kev txhim kho mob ntawm ko taw,
- ob qhov chaw hauv ib cheeb tsam (ntawm ob txhais ceg) ntawm osteoarthropathy thiab / lossis mob rwj.
Qhov tsis txaus ntseeg tseeb rau kev siv Tag Nrho Cov Tuav Pov Tseg yog ib txoj hauv kev sib kis mob hauv cov nqaij sib sib zog nqus ntawm ko taw, nrog rau mob caj dab lossis sepsis.
- kev siv tshuaj ischemia ntau heev (ua rau muaj kev cuam tshuam) ntawm qhov kawg, yog tias pob taws-to
Yog tias lub qhov txhab raug tus kab mob lossis muaj qhov pheej hmoo kis mob siab tshaj ntawm tus mob ko taw, yuav tsum tau siv tshuaj tua kab mob. Nws txoj kev vam meej tsis yog nyob ntawm txoj kev xaiv tshuaj tua kab mob kom raug thiab txoj kev tswj hwm xwb, tab sis kuj yuav tsum kho kev phais mob lub qhov txhab. Txoj kev kho no yuav tsum tau tuaj raws sijhawm thiab tsim nyog, tshwj xeeb tshaj yog thaum kis tau hnyav thiab tob. Kev phais mob ntawm tus taw yuav tsum tsis txhob laug sijhawm, tab sis yuav tsum tau nqa tawm tib lub sijhawm thaum kho tshuaj tua kab mob. Nws yuav tsum yog tshaj dhau, i.e., cuam tshuam tag nrho cov ntaub so ntswg uas kis tau thiab tsis zoo.
Yog tias tus neeg mob muaj cov cim no, tom qab ntawd nws pom tseeb tias nws yuav tsum tau kho nrog tshuaj tua kab mob, thiab hauv cov koob tshuaj kom tsim nyog, thiab pib sai. Tab sis nyob rau hauv cov ntshav qab zib mellitus, tshwj xeeb tshaj yog nyob rau cov neeg laus cov neeg laus, lub cev tsis muaj zog feem ntau hloov mus rau hauv hyporeactive, i.e., nws tsis muaj zog tiv thaiv kev kis tus kab mob. Hauv cov xwm txheej zoo li no, cov tsos mob uas tau hais los saum toj no tsis tshwm sim, thiab tus kws kho mob yuav tsum tau sau ntawv yuav tshuaj tua kab mob, tsom mus rau hauv qhov pom ntawm zos kev kis mob.
Hauv qhov mob nyhav thiab mob ntev, cov cim ntawm kev kis kab mob yog txawv. Hauv thawj kis, nws yog lub qog, o, mob, kub taub hau ntawm daim tawv nqaij, pus tawm ntawm qhov txhab.Hauv cov kiav txhab mob ntev, cov cim ntawm kev kis yog qhov tsos ntawm kev mob ntawm lub qhov txhab thiab cov nqaij mos uas nyob ib puag ncig, tsw ntxhiab tsw, qhov loj me ntawm lub qhov txhab, qhov hloov ntawm cov xim ntawm "crust", thiab tso kua paug lossis ntshav los ntawm lub qhov txhab.
Txog kev kho mob ko taw, tshuaj tua kab mob tuaj yeem siv tshuaj rau hauv tsev kho mob, lossis tus neeg mob tuaj yeem nqa lawv tom tsev hauv daim ntawv ntsiav tshuaj. Thawj txoj hauv kev yog tsim nyog yog tias muaj tus kab mob hnyav, thiab nws hem tus neeg mob lub neej lossis kev nyab xeeb ntawm cov ceg. Yog tias tus neeg mob ntshav qab zib tau kuaj pom muaj phlegmon, mob plab ua paug, ntub dej txhaws lossis mob sepsis, tom qab ntawv kho cov tshuaj tua kab mob yog ua raws cov leeg. Nws ua ke nrog kev phais mob ntawm qhov ua kom huv foci, detoxification thiab ntsuas kev ntsuas cov ntshav qab zib. Txhua yam no ua tiav hauv tsev kho mob.
Yog tias lub foci purulent tsis tob thiab muaj tsuas yog muaj cov cim kev qhia txog kev kis kab mob hauv lub qhov txhab, tom qab ntawd tus neeg mob tuaj yeem noj tshuaj tua kab mob hauv daim ntawv ntawm cov ntsiav tshuaj thiab tsis mus rau hauv tsev kho mob. Nws yog ib qho tseem ceeb kom nco ntsoov tias vim muaj lub zog neonpathy autonomic, qhov nqus ntawm cov as-ham thiab cov tshuaj nyob hauv txoj hnyuv plab tuaj yeem ua rau tsis zoo. Hauv qhov no, nws yog ib qhov tsim nyog yuav tsum hloov mus rau kev tso dej khov tshuaj tswj hwm ntawm cov tshuaj tua kab mob.
(xaus ntawm 2011)
Saib xyuas! Cov ntaub ntawv no yog "dag daim ntawv" rau cov kws khomob nkaus xwb Cov neeg mob - tsis txhob noj tshuaj tua kab mob rau koj tus kheej. Tham nrog kws kho mob tsim nyog!
- Clindamycin 300 mg 3-4 zaug ib hnub
- Rifampicin 300 mg 3 zaug ib hnub
- Flucloxacillin 500 mg 4 zaug ib hnub
- Clindamycin 150-600 mg 4 zaug ib hnub
- Flucloxacillin 500 mg 4 zaug ib hnub
- Trimethoprim 200 mg 2 zaug ib hnub
- Rifampicin 300 mg 3 zaug ib hnub
- Doxycycline 100 mg / hnub
- Linezolid 600 mg 2 zaug ib hnub
- Vancomycin 1 g 2 zaug ib hnub
- Linezolid 600 mg 2 zaug ib hnub
- Daptomycin 300-600 mg 1 zaug nyob rau ib hnub
- Amoxicillin 500 mg 3 zaug ib hnub
- Clindamycin 300 mg 3-4 zaug ib hnub
- Flucloxacillin 500 mg 4 zaug ib hnub
- Erythromycin 500 mg 3 zaug ib hnub
- Amoxicillin 500 mg 3 zaug ib hnub
- Clindamycin 150-600 mg 4 zaug ib hnub
- Amoxicillin 500 mg 3 zaug ib hnub
- Amoxicillin 500 mg 3 zaug ib hnub
- Metronidazole 250 mg 4 zaug ib hnub
- Clindamycin 300 mg 3 zaug ib hnub
- Metronidazole 500 mg 3 zaug hauv ib hnub
- Clindamycin 150-600 mg 4 zaug ib hnub
- Ciprofloxacin 500 mg 2 zaug ib hnub
- Cefadroxil 1 g 2 zaug ib hnub
- Trimethoprim 200 mg 2 zaug ib hnub
- Ciprofloxacin 200 mg 2 zaug ib hnub
- Ceftazidime 1-2 g 3 zaug ib hnub
- Ceftriaxone 1-2 g / hnub
- Tazobactam 4.5 g 3 zaug ib hnub
- Trimethoprim 200 mg 2 zaug ib hnub
- Meropenem 500 mg-1 g 3 zaug ib hnub
- Ertapenem 500 mg-1 g ib hnub
- Ticarcillin clavulanate 3.2 g 3 zaug ib hnub
- Ciprofloxacin 500 mg 2 zaug ib hnub
- Ceftazidime 1-2 g 3 zaug ib hnub
- Meropenem 500 mg-1 g 3 zaug ib hnub
- Ticarcillin clavulanate 3.2 g 3 zaug ib hnub
Feem ntau, cov neeg mob uas muaj ko taw mob ntshav qab zib ua ke nrog qog ua haujlwm tsis zoo. Thaum muaj qhov xwm txheej zoo li no, yog tias cov tshuaj tua kab mob lossis lwm yam tshuaj raug kho hauv cov tshuaj kho tus mob, cov teeb meem loj tuaj yeem ua rau tus neeg mob txoj kev noj qab haus huv. Vim li cas nws thiaj muaj kev pheej hmoo:
- yog tias qhov ua haujlwm tsis zoo ntawm lub raum yog txo qis, tom qab ntawd qhov zoo li qhov tshuaj thiab nws cov metabolites yuav muaj lub cev tsis zoo rau lub cev nce ntxiv,
- hauv cov neeg mob uas lub raum lub raum tsis ua haujlwm, kam rau ua kev phiv los ntawm cov tshuaj feem ntau txo qis,
- qee cov tshuaj tua kab mob tsis pom tag nrho lawv lub zog yog tias qhov zoo kawg muaj nuj nqi ntawm lub raum tsis muaj zog txaus.
Muab cov xwm txheej no, yog tias tus neeg mob ntshav qab zib muaj teeb meem ntawm nws ob txhais ceg ua ke nrog nephropathy, ces tus kws kho mob yuav tsum kho ib qho zuj zus kev xaiv cov tshuaj tua kab mob thiab nws cov koob tshuaj
Kev phais mob, txiav tu plaub hau
Kev phais mob ntawm qhov txhab yog tshem tawm cov tawv nqaij tuag thiab pus. Nws yuav tsum tau ua yog li ua rau cov ntaub so ntswg uas tau tuag tawm tsis ua rau lub hav zoov rau cov kab mob phom sij.
Yuav ua li cas yog tus txheej txheem no nqa tawm:
- Daim tawv nqaij yog ntxuav thiab tua kab mob.
- Nws yog txiav txim siab tob npaum li cas kiav txhab thiab seb yam khoom txawv teb chaws poob rau hauv nws.
- Tus kws kho mob tshem tawm cov ntaub so ntswg nrog pob txaij thiab phais txiab txiav thiab tom qab ntawd yaug cov qhov txhab.
Thaum kawg ntawm kev phais mob, kev txhab yuav tshwm sim loj thiab tob dua li ua ntej. Nws yuav tsum liab lossis xim liab, zoo li nqaij tshiab.
Ntxiv nrog rau kev phais, muaj lwm txoj hauv kev los kho lub qhov txhab:
- Siv tau cov enzymes uas yuav yaj tsis tau cov ntaub so ntswg.
- Txawm tias muaj kab tshwj xeeb siv tau, uas noj cov kab mob tuag xwb. Nyob rau tib lub sijhawm, lawv khaws cov tshuaj uas kho cov mob kho.
Cov txheej txheem nrog cov kab menyuam me tau paub txij li Kev Tsov Rog Thoob Ntiaj Teb thib Ib. Txij li xyoo 2000, cov paj laum nyob hauv nws tau rov qab ua dua.
Kev kho mob caj dab tsis suav tias yog kev phais mob. Kev phais tiag tiag los rau hauv kev ua si tsuas yog tias tag nrho lwm yam kev kho mob ua tsis tau tejyam. Ib qho kev piav qhia ntawm qhov tseem ceeb ntawm kev txiav txim siab yog tshaj li qhov teev ntawm tsab xov xwm no. Kho kom zoo tom qab phais tas yuav siv sijhawm ntev li ob peb asthiv lossis hli, nyob ntawm seb tus neeg mob tswj hwm nws cov ntshav qab zib kom zoo.
Orthopedic nkawm khau
Orthopedic nkawm khau yog qhov tseem ceeb tshaj plaws kev tiv thaiv kev ntsuas rau cov mob ntshav qab zib ko taw. Yog tias tus neeg mob hnav cov khau orthopedic haum rau nws, tom qab ntawv qhov no yuav txo qhov muaj peev xwm ntawm qhov mob txhab ntawm ko taw los ntawm 2-3 zaug.
Lub taub ntiv taw yog ib daig ntawm cov khoom siv uas ntxiv dag zog rau nkawm khau thom khwm. Hauv nkawm khau orthopedic yuav tsum tsis muaj qhov tawv tawv ntiv taw. Sab saum toj ntawm cov khau yuav tsum muag muag, xis thiab muaj kev nyab xeeb rau cov ntiv taw xaj. Yuav tsum tsis muaj qhov ntxig rau sab hauv ntawm cov khau orthopedic kom tsis muaj txiab.
Lub ib leeg yuav tsum nruj, i.e. khoom, tsis txhob ywj. Yog li, lub siab nyob rau thaj tsam ntawm pem hauv ntej plantar saum npoo ntawm lub ko taw txo, thiab cov load rau ntawm ntu ntawm ko taw tau faib ntau tusyees. Orthopedic nkawm khau yuav tsum yog yooj yim thiab xis nyob los ntawm thawj phim nrog.
Tom qab nyeem tsab xov xwm, koj tau kawm txhua yam koj xav tau txog tus mob ko taw mob ko taw. Ntau cov duab tau nthuav tawm uas yuav pab koj ntsuam xyuas qhov xwm txheej - phem npaum li cas koj ob txhais ceg cuam tshuam thiab qhov tshwm sim yog dab tsi. Mob taw yog ib yam mob uas ua rau ntshav qab zib tuaj yeem ua rau txiav tu. Txawm li cas los xij, tsis yog txhua tus neeg mob yuav ploj mus ua neeg xiam oob khab. Ua raws li cov lus pom zoo tau hais los saud - thiab tau lees tias kom txuag lub sijhawm txav "ntawm koj tus kheej." Qhov loj tshaj plaws yog mus ntsib tus kws kho mob kom raws sijhawm sai li sai tau uas koj pom muaj kev puas tsuaj rau koj txhais ceg. Cov kws kho mob tam sim no muaj cov ris tsho hnav thiab tshuaj pleev zoo hauv lawv cov khoom siv uas tua cov kab mob thiab pab kho kom zoo.
Tsis suav rau hauv cov tshuaj noj muab txuj ci tseem ceeb. Tsis txhob noj tshuaj tua kab mob raws li koj tus kheej lub tswv yim! Qhov loj tshaj plaws yog tias tus neeg mob pib kho lub sijhawm, txawm tias nws txhais ceg tseem tsis tau mob. Koj tuaj yeem sim alpha lipoic acid rau txo cov ntshav qab zib mob hlwb thiab rov qab rhiab ntawm cov ceg. Tab sis qhov zoo tshaj plaws uas koj tuaj yeem ua yog hloov mus rau kev noj haus kom tsawg cov zaub mov kom tsis txhob muaj ntshav qab zib kom ua rau koj cov piam thaj hauv ntshav. Nyeem ntxiv txog kev kho mob ntshav qab zib hom 2 thiab kev kho mob ntshav qab zib hom 1. Qhov kev noj haus kom tsis muaj cov carbohydrate tsawg cov suab thaj thiab pab ua kom nws nyob qis qis, zoo li hauv cov neeg noj qab haus huv. Vim qhov no, mob ntshav qab zib neuropathy tau ploj mus. Lub cev rhiab hauv ob txhais ceg rov qab zoo li qub. Qhov no yog txoj hauv kev tiag kom rov zoo los ntawm mob ntshav qab zib taw thiab lwm yam teebmeem ntxiv.
Cov kab mob ntawm lub raum nrog mob ntshav qab zib thiab lawv txoj kev kho mob
Qhov zoo tshaj yuav ua rau vascular cov teeb meem mob ntshav qab zib yog hyperglycemia. Nrog rau cov xwm txheej ua rau muaj kev vam meej ntawm lub raum pathology, nws ua rau cov kab mob hauv lub raum, ntshav qab zib nephropathy.
Lub pathogenesis ntawm lub raum kev puas tsuaj yog pom los ntawm cov phab ntsa hauv cov hlab ntshav, qhov ntau thiab zoo hloov hauv cov hlwb, kev tsim khoom ntawm cov protein ntau dhau los ntawm cov hlwb no, thiab kev tsim kho cov hlab ntsha hyalinosis.
Cov kev cai ntawm siab nyob rau hauv lub raum glomeruli yog qhov tsis taus, yog li kev pom ntawm cov txheej txheem. Tom qab ntawd, mob raum hypertrophy yog hloov los ntawm mob raum sclerosis, uas yog manifested los ntawm lub raum tsis ua haujlwm.
Mob ntshav qab zib thiab lub raum tau sib cuam tshuam zoo heev, raws li muaj pov thawj los ntawm kev txheeb cais: ib feem peb ntawm cov neeg mob ntshav qab zib insulin tsis muaj peev xwm tso lub cev los ntawm cov tshuaj phem vim yog lub raum puas.
Cov neeg mob ntshav qab zib hom 2 mob raum los ntawm kab mob hauv lub raum hauv 5% ntawm cov neeg mob, tab sis nws txoj kev nthuav dav yuav luag kaum npaug siab dua, yog li ntawd, nyob hauv tus qauv tag nrho, qhov sib txawv ntawm cov neeg mob hauv cov pab pawg no tsis tshua pom tseeb.
Ntawm cov ntshav qab zib mellitus, ob lub raum yog yuam kom tsim cov zis ntau kom thiaj li ua kom tshem tau cov piam thaj thiab metabolites ntau dhau. Tab sis cov kev hloov pauv hauv lub raum cov ntaub so ntswg txo lawv txoj haujlwm, tshwj xeeb tshaj yog tiv thaiv keeb kwm yav dhau los ntawm txoj hlab ntshav siab.
Kho pob kws kho
Kev kho mob raum yuav tsum tau pib thaum ntxov li sai tau, nws yuav tsum tsis yog tsuas yog tshem tawm cov tsos mob, tab sis ua ntej ntawm txhua yam, ua rau lub hauv paus thiab txhua qhov txuas hauv lub pathogenesis, muaj kev nthuav dav.
Cov qib roj thiab ntshav siab yuav tsum tau ua tib zoo saib xyuas. Yuav tsum ua kom cov ntshav qab zib tsis txaus. Qhov kev txo qis ntawm cov ntsev hauv cov zaub mov yog qhov yuav tsum muaj. Tshuaj ntsuab tshuaj pom zoo - ntau dua.
Kev kho mob hauv ob lub raum nrog cov ntshav qab zib mellitus suav nrog: ACE inhibitors uas txo qis kev mob ntshav siab thiab microalbuminuria (enalapril, captopril, hinapril, perindopril, ramipril, fosinopril).
Yog tias vim li cas lawv contraindicated, tom qab ntawd koj tuaj yeem rov qab mus rau angiotensin-2 receptor antagonists (valsartan, irbesartan, losartan, condesartan, telmisatran).
Nws raug nquahu los muab cov tshuaj no nrog sulodexide, uas rov kho qhov tsis taus ntawm cov leeg hauv qab daus ntawm lub raum glomeruli thiab txo cov protein tsawg hauv cov zis.
Yog tias qee qhov dej tsis muaj lub cev zais ntawm lub cev, tsis ntev tom qab ntawd nws ua rau mob ntsws los yog cov hlab pas o, mob ntshav siab ntau, arrhythmias, kua qaub ncaug ntau ntxiv, thiab qhov kev pheej hmoo ntawm kev ua pa tuaj nce ntxiv. Hemodialysis pab ntxuav cov ntshav thiab ua rau cov neeg mob muaj txoj sia nyob.
Lwm qhov kev xaiv yog lub raum noj qab haus huv los ntawm tus neeg pub nyiaj, txuam nrog kev mob lom, kho mob thiab kev sib raug zoo uas suav daws yog tus daws tau yooj yim. Lub raum hloov raws li kev kho mob rau theem siab rau cov ntshav qab zib mob nephropathy muab cov txiaj ntsig zoo.
Yuav kho cov kiav txhab tsis zoo li cas hauv ntshav qab zib?
Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.
Mob ntshav qab zib yog suav tias yog ib qho kab mob insidious, vim nws nqa ntau yam mob. Ib qho ntawm lawv yog cov qhov txhab tsis zoo kho, uas ua rau lub neej muaj ntshav qab zib. Yog li, nws tseem ceeb yuav tsum paub yog vim li cas cov qhov txhab txhawm rau tsis zoo, yuav ua li cas tiv thaiv tus mob no, thiab tseem ceeb tshaj, yuav kho nws li cas.
- Vim li cas cov qhov txhab tsis zoo yuav kho tau tus mob ntshav qab zib
- Mob ntshav qab zib mob khaub thuas kho mob
- Kev kho mob ntawm cov tsis kho kom zoo purulent txhab rau ntawm txhais ceg: yuav ua li cas thiab yuav kho li cas, kho
- Neuropathic cov teeb meem: nta
- Mob taw kev: nta
- Cov qhov txhab kho mob zoo rau cov ntshav qab zib
- Kev kho mob ntawm qhov txhab nrog cov tshuaj kho mob pej xeem
- Kev tiv thaiv ntawm qhov tsis kho kom zoo
Vim li cas cov qhov txhab tsis zoo yuav kho tau tus mob ntshav qab zib
Nrog ntshav qab zib, qis qis tshaj feem ntau cuam tshuam. Qhov no yog vim qhov tseeb tias cov ntshav ncig tau cuam tshuam rau ntau qhov tsis yog tsuas yog hauv cov hlab ntsha loj, tab sis kuj muaj nyob rau ntawm cov hlab ntsha me. Qhov no nyeg ua rau kev puas tsuaj ntawm cov hlab hlwb xaus, ua rau tsis zoo rau lub siab xav.
Yog li, cov ntshav qab zib tsis tas yuav pom qhov txhab ntawm daim tawv nqaij. Ib tug neeg tuaj yeem txiav nws tus kheej thaum nws taug kev liab qab, nqis ib lub pob zeb lossis tsuas yog hlais pob kws.Qhov no ua rau kom tawg ntawm daim tawv nqaij thiab ntxiv kom muaj qhov nce siab. Yog li, kev kho kom zoo tsis yog nqa tawm thiab kev pabcuam ua ntej tsis raug muab. Kev puas tsuaj rau kev kis kab mob thiab suppuration. Kho mob qhov txhab yog qhov nyuaj. Qhov tsim nyog tau yog kev txhim kho ntawm mob txhab, mob taw thiab neuropathy.
Cov ua tsis zoo:
- weakening ntawm tiv thaiv kab mob,
- circulatory mob thiab kev puas tsuaj rau cov leeg paj,
- o ntawm qis qis dua,
- kis tau tus mob
- tsis muaj peev xwm los immobilize ceg rau lub sij hawm ntawm kev kho mob,
- tsis muaj kev noj haus ntawm lub hlwb thiab cov ntaub so ntswg nrog cov tshuaj muaj txiaj ntsig zoo,
- tsis tseeb kev kho mob.
Cov qhov txhab nyob rau theem siab kawg tuaj yeem ua rau kev txhim kho kev ua tub rog, uas yuav luag tsis tuaj yeem tshem tau. Tus kab mob no tseem tab tom ceev ceev. Raws li qhov tshwm sim, qis dua qhov kawg ntawm cov ntshav qab zib tau txiav tu. Yog li, nws yog ib qho tseem ceeb kom kuaj xyuas ob txhais ceg txhua hnub rau qhov muaj txhua qhov mob, qhov nqaij to, mob pob tw thiab caj dab.
Yuav ua li cas tiv thaiv raum tsis ua haujlwm?
Kab mob hauv lub raum yuav tsum tau sim kom tiv thaiv, thiab tseem ntau dua li mob ntshav qab zib. Txawm hais tias qhov tseeb hais tias kev tiv thaiv muaj qhov pheej yig dua, ua tau zoo dua thiab muaj kev zoo siab dua li kev kho mob, qhov tshwm sim ntawm cov ntaub ntawv qib siab ntawm tus kab mob no siab heev.
Ntawm cov ntshav qab zib mellitus, qhov kev hem thawj ntawm kev mob tshwm sim ntawm cov mob txeeb zig yuav nce ntxiv, uas ua rau pom qhov ua tau teeb meem loj hauv thaj chaw kho mob. Kev nrhiav sijhawm thiab tshem tawm cov kab mob sib kis ceev kom tsis txhob muaj kab mob raum tsis ua hauj lwm zoo.
Cov hlab ntshav ntsha uas tswj lub zais zis cuam tshuam rau ntshav qab zib. Raws li qhov tshwm sim, ib qho xwm txheej tshwm sim uas qhov kev ua haujlwm ntawm kev zais lub zais zis yog qhov tsis pom zoo, thiab stagnation hauv nws coj mus rau kis tau.
Yog li, kev kis tau tuaj yeem tshwm sim tsis yog pib ua ntej, tab sis kuj yog los ntawm kev tshwm sim ntawm lub zais zis neurogenic, uas tshwm sim los ntawm kev tuag ntawm cov hlab ntsha kawg.
Txhua tus neeg yuav tsum nkag siab: kev txav mus rau txhua qhov nws txawv (kis las, dhia dhia, qoj ib ce, seev cev, thiab lwm yam) pab txhawb kev ua haujlwm ntawm urodynamics, uas yog, nws tiv thaiv stagnation zis, normalizes ntshav qab zib, txo cov roj cholesterol thiab ua kom cov hlab ntshav huv thiab ywj siab.
Txij li thaum cov kab mob thiab cov nqaij hauv lub cev muaj qhov sib txuam thiab sib txuam, cuam tshuam hauv ib qho system ua rau lub cev tsis ua haujlwm hauv lwm. Yog li, ntshav qab zib feem ntau cuam tshuam rau lub raum.
Txawm li cas los xij, yog tias pom cov tsos mob tshwm sim, koj yuav tsum hu rau tus kws tshaj lij thiab tso nws tus kheej tshuaj. Kev paub ntxov ntawm kev mob raum hauv ntshav qab zib yog tus yuam sij rau kev ua tiav.
Mob ntshav qab zib mob khaub thuas kho mob
Txhawm rau txhawm rau txhim kho epithelization ntawm qhov txhab, nws yog qhov tsim nyog los tsim cov kev mob zoo rau qhov no:
- Yuav tsum tau kho cov qhov txhab nrog cov neeg ua haujlwm antiseptic. Yog tias pom o thiab liab liab, siv cov tshuaj tua kab mob rau hauv daim ntawv pleev pleev.
- Kev kho mob Vitamin kuj yuav muaj txiaj ntsig, ua tsaug uas nws muaj peev xwm los txhim kho kev tiv thaiv kab mob hauv lub cev.
- Nws yog ib qho tseem ceeb heev rau kev ntxuav daim tawv nqaij ntawm cov kab mob tsis zoo, lub cev txawv teb chaws thiab cov kab mob tuag.
- Cov qhov txhab tau ntxuav nrog lub cev qab ntsev.
- Qee qhov xwm txheej, nws raug nquahu kom muab da dej hauv zos nrog dej hloov pauv.
- Kev kho mob ntawm qhov txhab yuav tsum tau muaj txhij txhua thiab raws li kev saib xyuas ntawm kws kho mob.
Kev kho mob ntawm cov tsis kho kom zoo purulent txhab rau ntawm txhais ceg: yuav ua li cas thiab yuav kho li cas, kho
Kev kho mob ntawm qhov tsis zoo tom qab ntawm qis qis yuav tsum pib nrog kev kho mob ntawm thaj chaw. Cawv tiv thaiv tshuaj tua kab mob muaj ceem ntawm cov khoom siv sib kis, txij li lawv dhau mus ua qhuav ntawm daim tawv nqaij. Yog li, txhua tus mob ntshav qab zib yuav tsum muaj kev daws teeb meem saline nyob tom tsev. Nws tuaj yeem yog "Chlorhexidine", "Furacilin" lossis manganese (potassium permanganate).
Coj hnab looj tes roj hmab ua ntej yaug qhov txhab kom tiv thaiv kev kis tus mob. Tsuas siv cov ntaub qhwv thiab cov ntaub qhwv uas huv huv xwb.Ntxiv mus, rau kev ntxuav koj tus mob, koj tuaj yeem thov cov tshuaj pleev tshwj xeeb raws cov nyiaj, metronidazole thiab lwm yam tshuaj tua kab mob. Hauv cov txheej txheem inflammatory, nws raug nquahu kom siv cov tshuaj pleev rau tshuaj tua kab mob (Levosin, Levomekol).
Thaum lub qhov txhab zoo mob zoo, kev cog lus ntau yuav tsum tsis txhob tso cai, yog li siv cov tshuaj pleev kom dej noo. Nws tuaj yeem yog "Trophodermine" lossis "Methyluracil tshuaj pleev." Cov ris tsho hnav thiab kev daws teeb meem yuav tsum ua 2-4 zaug nyob rau ib hnub.
Yog tias lub qhov txhab muaj ntau ntawm cov kua paug thiab tsis zoo rau ntev, tus kws kho mob yuav hais kom ua qhov kev phais mob. Nws suav nrog kev ua kom huv si thiab suturing, ntxiv rau ntws cov qhov txhab. Raws li txoj cai, stitches tuaj yeem tshem tawm tom qab 10 hnub.
Neuropathic cov teeb meem: nta
Nrog rau cov mob ntshav qab zib neuropathy, qhov kawg ntawm txoj hlab tau khov, uas ua rau poob ntawm qhov tsis hnov mob. Qhov no yog qhov tshwm sim zoo tshaj hauv ntshav qab zib, uas yog nrog los ntawm tsim ntawm purulent tawm. Tus neeg mob yeej tsis xav tias tau txais microtrauma. Txhawm rau kom zam dhau qhov kev mob no, nws yog ib qho tseem ceeb uas yuav tsum tau soj ntsuam cov ntshav qabzib kom siab thiab ntsuas cov ntshav kom muaj ntshav khov. Vim tias cov xwm txheej no ua rau tsis muaj zog ntawm cov phab ntsa ntawm cov hlab ntshav thiab kev puas tsuaj rau cov leeg.
Nrog neuropathy, txhais taw yog feem ntau cuam tshuam, vim nws yog qhov tseem ceeb load uas nyob ntawm nws. Vim li ntawd, qhov sib sib zog nqus uas tsis yog mob uas ncav cuag cov leeg thiab cev pob txha muaj qhov cim tseg. Roj camphor yog suav hais tias yog kev kho mob zoo tshaj plaws.
Mob taw kev: nta
Qhov tsim ntawm lub qhov txhab tob yog cov yam ntxwv ntawm tus mob ko taw, uas ua rau kev ua tiav ntawm cov hlab ntsha thiab kev puas tsuaj rau daim tawv nqaij ntawm necrotic xwm. Xws li cov kev mob tshwm sim yog qhov yuav luag tsis tuaj yeem kho nrog tshuaj kho mob, yog li kev siv phais mob siv.
Nws yog qhov mob ntshav qab zib ko taw uas ua rau kev txhim kho kev nruab nrab lub cev nqaij daim tawv thiab ntxiv kev txiav ntawm tes taw. Yog li, sim tsis txhob hla dhau koj ob txhais ceg thiab hnav cov khau zoo nkauj tshaj plaws. Tom qab thawj cov tsos mob tshwm sim, tam sim hu rau tus kws kho mob, txij li nyob rau hauv thawj theem pib tseem muaj lub sijhawm los mus tshem tawm ntawm cov kev mob ntxiv yam tsis muaj kev phais.
Xav paub ntau ntxiv txog tus mob ntshav qab zib ko taw ntawm no: http://diabet.biz/oslozhneniya/hronicheskie/konechnosti/diabeticheskaya-stopa.html.
Cov qhov txhab kho mob zoo rau cov ntshav qab zib
Cov qhov txhab uas kho tau qhov txhab yog qhov ncauj lus, vim tias lawv tau muab faib ua txhua hom, nyob ntawm qhov ua (etiology) ntawm qhov tshwm sim ntawm qhov txhab thiab theem ntawm kev txhim kho. Piv txwv li, nrog kev coj tus mob hauv qhov puas tsuaj, nws txaus los siv tshuaj pleev ua kom yuag, nrog rau qhov txhab tob - cov kab mob tiv thaiv kab mob, thiab hauv theem kawg ntawm kev kho - rov ua dua tshiab.
Tshuaj pleev rau qhov ncauj mob txhab
Kev kho kom nrov tshaj plaws thiab ua tau zoo rau kev kho mob ntawm qhov mob qog:
- "Fusicutan" yog tsim rau lub hauv paus ntawm fusidic acid, hais txog kev siv tshuaj tua kab mob.
- "Delaxin" muaj cov tannin hluavtaws, muaj cov txiaj ntsig zoo - nws ua kom qhuav, tsim dua tshiab, tshem tawm cov mob thiab khaus.
- "Solcoseryl" ua rau nrawm kev zom zaub mov, kho cov tawv nqaij.
- "Vulnostimulin" muaj lub ntuj tsim ua.
- "Algofin" yog hais txog cov kab mob tua kab mob. Muaj cov carotenoids, chlorophyll thiab lwm yam khoom ntuj.
Tshuaj pleev rau qhov txhab qhib
Cov tshuaj pleev los ntawm pawg no tau thov rau lub qhov txhab kom qhuav me ntsis kom kho thiab tshem tawm ya raws:
- Levomekol tsim cov ntaub so ntswg rau lub sijhawm luv.
- "Baneocin" muaj bacitracin thiab neomycin, yog li nws yog ib qho tshuaj tua kab mob muaj zog. Nws kuj tseem siv tau rau kev hlawv.
- Cov tshuaj pleev cov quav pleev pab kom qhuav.
- "Dioxisol".
Npaj rau purulent mob
- Ointment "Ichthyol" muaj cov khoom zoo nkauj - ncab pus, tso tshuaj loog, tshuaj tua kab mob. Ua ntawv thov rau daim ntaub qhwv paj rwb thiab ntxig rau hauv qhov txhab, kho nrog kev hnav khaub ncaws tsis huv.
- Tshuaj pleev "Streptocid" ua rau cov kab mob rhuav tshem, kos kua dej purulent.
- Ointment "Vishnevsky" yog siv los ua ib txoj hauv kev rau tshuaj pleev thiab compresses.
- Tshuaj pleev "Syntomycin" yog hais txog cov tshuaj tua kab mob.
Kev kho mob ntawm qhov txhab nrog cov tshuaj kho mob pej xeem
- Freshly txiav nplooj ntawm celandine yog thov ncaj qha rau lub qhov txhab mob.
- Koj tuaj yeem ua cov tshuaj pleev los ntawm lub hauv paus ntawm celandine thiab burdock hauv ib qho sib piv ntawm 2: 3. Ntxiv me ntsis roj zaub thiab rhaub dua ib qho hluav taws li 10-15 feeb. Ntub peb lub qhov txhab ib hnub peb zaug.
- Cov kua txiv los ntawm cov txiv ntoo tshiab rau hauv daim ntawv ntawm qhov zaws lossis pleev qhov tawv yog siv ua tshuaj tua kab mob.
- Qaub mis yuav pab daws qhov mob. Rau qhov no, daim ntaub nyias nyias yog impregnated nrog cov khoom siv mis nyuj thiab ua rau lub qhov txhab. Ua 4 zaug ib hnub.
- Ua kua txiv los ntawm burdock nplooj thiab thov ob peb zaug ib hnub.
- Noj 2 tbsp. l calendula thiab 200 ml ntawm dej npau. Yuav kom da dej.
Cov tshuaj ntsuab qhia thaum ub raug siv nrog rau kev kho tshuaj. Ua ntej siv lawv, nws yog qhov yuav tsum tau sab laj nrog tus kws kho tus mob endocrinologist thiab nruj me ntsis ua raws txhua yam nws xav tau. Tsuas yog hauv qhov no tuaj yeem ua tiav ib qho txiaj ntsig zoo.
Yuav tiv thaiv li cas kom mob ntshav qab zib taw thiab txiav tu (video)
Yog xav paub ntxiv txog kev tiv thaiv kev tiv thaiv tiv thaiv kev mob ntshav qab zib ko taw thiab kev voos, koj tuaj yeem los ntawm cov yeeb yaj kiab muab rau koj mloog:
Yuav tsum nrhiav cov lus ntuas los ntawm tus kws kho endocrinologist thiab tsis txhob siv lub tswv yim ntawm cov phooj ywg, ib yam li txhua kis txhua tus neeg txoj kev kho yog tsim nyog. Nco ntsoov, tsuas yog tus kws kho mob tshwj xeeb tuaj yeem txheeb xyuas qhov xwm txheej, suav txog tus yam ntxwv ntawm tus kab mob thiab lub cev.
Vim li cas corns tshwm sim?
Txhawm rau kom qhov hnyav ntawm peb lub cev, txav nws, thiab txawm txom nyem tib lub sijhawm - ntau npaum li cas koj yuav tsis khib peb ob txhais ceg. Nkawm khau tshiab lossis tsis yooj yim, huab cua qhuav, ua tsis tiav ntawm cov tshuaj pleev ib ce - cov no yog cov yam uas cuam tshuam rau qis qis ntawm ib tus neeg feem ntau.
Teeb meem khau feem ntau ua rau calluses ntawm ob txhais ceg. Tshwj xeeb tshaj yog thaum koj xav tias nws tsis yog sai li sai tau los hloov khau tsis khaus lossis khau khiab nrog qhov kev xaiv yooj yim dua. Kev txhuam tus txhuam ntawm qhov khau yog tom qab, tom qab ntawd ua rau daim tawv nqaij. Maj mam hauv qhov chaw no pib ua cov tuab ntawm daim tawv nqaij txheej thiab nws cov tawv tawv, keratinization.
Tiag tiag callus (qhuav) mus tob rau hauv daim tawv nqaij, hauv ntu ntev ntev nws zoo li lub caj dab hauv cov duab. Cov qauv zoo li no tuaj yeem ua rau mob, loj hlob thiab ua rau ob txhais ceg ceg, ua rau lawv tsis zoo.
Rov qab mus rau txheem
Mob ntshav qab zib Corns
Rau cov mob ntshav qab zib, mob caj dab ntawm lawv ko taw yog cov ncauj lus tshwj xeeb.
Dab tsi yog qhov phom sij ntawm tus mob ko taw. Los yog txiav tu ntawm ob txhais ceg los ua ib qho chaw kawg rau qhov tshwm sim hnyav tshaj plaws ntawm tus mob no. Tab sis nws txhua tus pib nrog kev puas tsuaj tawv nqaij me.
Qhov tseeb yog tias mob ntshav qab zib, qhov mob rhiab tag nrho ntawm cov ntaub so ntswg feem ntau txo qis thiab cov ntshav ncig yog cuam tshuam. Vim tias qhov no, cov qhov txhab me me, khawb, abrasions mus tsis tau (vim lawv tsis raug mob) thiab kho tsis zoo heev. Qhov tsis zoo tshaj plaws yog qhov kev txhim kho ntawm cov txheej txheem ua mob, lawv nthuav tawm thiab txuas ntxiv rau kev ua qias neeg. Tias yog vim li cas kev kho mob ko taw kom mob ntshav qab zib tseem ceeb npaum li kev noj zaub mov noj.
Rov qab mus rau txheem
Yuav ua li cas kho corns?
Cov kev txhais tau yooj yim tshaj plaws yog cov pob kws tshwj xeeb plasters. Hauv tsev muag tshuaj koj tuaj yeem pom ob peb ntawm lawv nyob ib zaug. Nws tag nrho yog nyob ntawm qhov chaw tsim ntawm pob kws, nws freshness thiab loj.
Bensalitin yog tshuaj pleev rau kev tshem calluses. Nws mob, ua kom tawv nqaij keratinized, pab tshem nws. Kev siv ntev ntev yuav tsim nyog - nws tag nrho nyob ntawm callus nws tus kheej. Belita-Vitex tseem yog cov tshuaj rau corns, tab sis nyob rau hauv daim ntawv ntawm lub qab zib.
Rov qab mus rau txheem
Folk kev
Tus mob ntshav qab zib yuav tsum tau txais cov lus qhia zoo dua los ntawm lawv tus kws kho mob txog kev kho mob thiab kho pob ntseg. Nws tsis paub thaum twg ceg yuav raug mob thiab seb nws yuav tuaj yeem nug txog kev kho mob.Yog tias kev kho mob, pej xeem los sis cov txheej txheem kev tshaj tawm zoo li ntxim nyiam rau koj, tseem cia li tsis kam noj tshuaj ntxiv. Piv txwv li, txiav kab mob ntshav qab zib kom ntshav qab zib yog qhov kev ua tsis txaus ntseeg.
Rov qab mus rau txheem
SOSU pedicure thom khwm
Lawv tau hais los ntawm cov cuab yeej siv pedicure me, rau qhov uas tsis muaj kev siv zog xav tau. Txoj kev siv:
- muab tso rau
- hnav txog li ob teev,
- tshem tawm, ntxuav koj txhais taw nrog dej sov.
Tom qab ob peb hnub, maj mam sib cais ntawm daim tawv txheej nrog txhua cov tuab tuab, cov tawv nqaij thiab txiab yuav tsum pib.
Yuav luag txhua tus kws kho mob yuav hais tias kev siv thom khwm rau kev taug ko taw yuav tsum tsis txhob tshem kev tu txhua hnub. Thiab tseem, yog tias koj txiav txim siab siv SOSU thom khwm, sim tsis txhob yuav qhov cuav. Tus nqi ntawm cov khoom lag luam tshiab yog ntau dua li ntawm ntawm ib qho yooj yim thaj - qhov no tuaj yeem suav hais tias yog rho tawm.
Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.
Rov qab mus rau txheem
Xaiv kws kho mob thiab teem sijhawm:
Dot tawm rau cov ntshav qab zib (liab, xim av, tsaus)
Ib qho ntawm cov teeb meem uas nquag muaj ntawm ntshav qab zib yog xim av lossis liab tshwm ntawm ob txhais ceg. Qhov xwm txheej ntawm cov pob khaus no tsis cuam tshuam nrog psoriasis, yog li ntau tus neeg nyiam yuav ua li cas xws li me ntsis tiag tiag.
Cov kev nyuaj no ua rau tus neeg mob ntau qhov tsis xis nyob, nqa ntau yam tsis yooj yim. Yog li ntawd yog dab tsi tsaus nti hauv ob txhais ceg, thiab yuav ua li cas kom tshem tau lawv?
Ua rau
Nrog rau cov ntshav qab zib, cov teeb meem hauv lub cev hauv lub cev tshwm sim, uas ua rau muaj kev tsim cov kab mob txuas ntxiv hauv ntau lub nruab thiab cev. Daim tawv nqaij rau tus kab mob no tsis muaj qhov zam.
Qhov tseeb, yam ua rau cov pob liab liab tshwm rau ntawm ob txhais ceg yog pom tseeb. Qhov xwm ntawm lawv cov tsos tshwm nyob rau hauv kev cuam tshuam ntawm cov metabolism hauv kev puas tsuaj hauv cov ntaub so ntswg. Raws li qhov tshwm sim, ntau yam tshwm sim nyob rau saum npoo ntawm dermis, hauv cov plaub hau plaub thiab pores.
Tsis tas li ntawd, kev tiv thaiv kev ua haujlwm ntawm lub cev tsis muaj zog nyob hauv cov neeg mob ntshav qab zib, uas ua rau kis tus kabmob epidermis los ntawm cov kab mob pathogenic thiab microbes.
Nrog kev nce qib ntawm tus kab mob, tus neeg mob daim tawv raug hloov ntau yam: nws coarsens, tev tawm thiab plam elasticity.
Kab mob pwm
Cov pob tsaus nti ntawm ob txhais ceg puas yog qhov tseem ceeb hauv kev txhim kho cov kab mob fungus hauv ntshav qab zib? Feem ntau ua rau mob fungal yog tus kab mob Candida albicans. Cov kab mob me me no yog qee qhov tsis nco qab txog cov poov xab, nws ua rau khaus, tawm pob thiab liab ntawm daim tawv nqaij (raws li muaj nyob hauv daim duab).
Yeej, cov kab mob fungus yog nyob hauv qhov chaw ntub thiab sov tshaj plaws ntawm qhov chaw dermis, i.e. nws xav tau zoo hauv folds ntawm daim tawv nqaij.
Txog tus mob ntshav qab zib, cov teeb meem yog:
- nyob rau hauv lub mis nyob rau hauv cov poj niam thiab nyob rau hauv lub foreskin rau cov txiv neej,
- nyob rau hauv cov ces kaum ntawm lub qhov ncauj
- nruab nrab ntawm cov ntiv tes ntawm sab caj npab thiab txhais ceg,
- ze ntawm tus ntsia thawv phaj
- hauv puab tais lub chaw
- nyob rau hauv qhov quav.
Feem ntau, liab, khaus khaus ntawm ob txhais ceg, tsom mus rau qee qhov chaw, yog qhov cim qhia txog ntshav qab zib mellitus. Thiab feem ntau, ib qho kev kis tus mob fungal tau pab txhawb cov nyom. Yuav luag txhua zaus, cov pwm pib ntawm ob txhais ceg.
Ua tib zoo mloog! Txhawm rau tshem tawm xim liab, cov kws kho mob nqaj pom zoo kom thov cov roj ntuj nrog cov nyhuv rau cov chaw ua haujlwm.
Cov pob khaus saum toj qis tuaj yeem yog pob txuv ua pob thiab koj yuav tsum paub dab tsi txog cov mob no? Txog rau hnub tim, muaj tsawg kawg yog peb caug ntau yam ntawm ntau yam dermatitis.
Tseem Ceeb! Hauv qhov xwm txheej no, peb txhais tau tias cov kab mob ntawm daim tawv nqaij tau nce zuj zus ua ntej ntawm cov ntshav qab zib lossis tawm tsam nws keeb kwm nrog kev txhim kho tus kabmob.
Muaj 3 pawg ntawm tus kabmob. Ua ntej, thawj cov kab mob ntawm daim tawv yog tsim nyog sau cia.Txog rau pawg no, kws kho mob tawm tswv yim suav nrog txhua tus tsos mob uas tshwm sim los ntawm ntau yam kev cuam tshuam uas tshwm sim hauv cov txheej txheem hauv cov zom zaub mov, yog tias tus neeg mob ntshav qab zib.
Hais txog cov kab mob thib ob, hom kab mob no suav nrog cov kab mob ntawm daim tawv nqaij ntawm qhov sib kis tau tshwm sim los ntawm cov kab mob thiab cov hu ua fungi.
Ua tib zoo mloog! Cov pob khaus tawv nqaij muaj pob txha ua rau muaj kev txo qis rau qhov dav dav thiab hauv zos ntawm kev tiv thaiv kab mob.
Hauv pawg thib peb ntawm cov kab mob dermatological, vim qhov liab me tshwm ntawm ob txhais ceg, cov kws kho mob tawv nqaij lees paub cov xeeb ceem ntawm daim tawv nqaij. Feem ntau lawv tshwm sim tom qab siv cov tshuaj siv rau ntshav qab zib.
Kev kuaj mob
Dab tsi koj yuav tsum paub txog kev kuaj mob pob khaus ntawm daim tawv nqaij qis qis hauv kev mob ntshav qab zib? Cov neeg mob tuaj ntsib tus kws tshaj lij tawv nqaij kom paub txog pob khaus ua tawv nqaij ntawm qhov sib txawv, raws li txoj cai, tus kws kho mob xa mus kuaj ntau yam.
Kev tshawb fawb tseem suav nrog kev txheeb xyuas uas qhia pom cov piam thaj hauv ntshav. Feem ntau, cov neeg mob uas tau mus ntsib tus kws kho mob dermatologist uas xav tias muaj kab mob dermatitis thiab mob cuam tshuam nrog kev mob ntshav qab zib.
Hauv lwm qhov xwm txheej, kev kuaj mob ntawm cov dermatoses nrog cov kab mob endocrine tau ua tiav tib yam li nrog lwm cov kab mob ntawm daim tawv nqaij:
- kev kuaj sim tau coj tawm,
- tus kws kho mob ua ib qho kev ntsuas sab nraud,
- Qee zaum cov kws tshaj lij tshwj xeeb tuaj yeem ua kev sib txuas ntxiv.
Txhawm rau txiav txim siab tshwm sim ntawm cov kab mob dermatitis nyob hauv pawg theem nrab, tus kws kho mob tau sau ntawv tshwj xeeb rau kev kuaj kab mob bacteriological. Ua tsaug rau cov kev tshawb fawb no, cov kab mob kis tau tuaj yeem tshawb pom.
Cov hau kev rau kev kho pob khaus tawv nqaij hauv cov neeg mob ntshav qab zib
Cov neeg muaj ntshav qab zib yuav tsum paub dab tsi txog kev kho mob yog tias tsaus nti tshwm sim ntawm lawv cov ceg?
Cov txheej txheem ntawm kev kho mob ntawm dermatitis yog ncaj qha cuam tshuam nrog pab pawg uas tus kab mob no yog. Ua ntej tshaj plaws, tus kws kho mob xaiv kev kho mob txhawm rau muab qhov siab tshaj plaws ua kom rov qab los ntawm cov txheej txheem metabolic. Ntawd yog, ua ntej ntawm txhua yam, kws kho daim tawv nqaij saib xyuas tsis yog qhov tshwm sim, tab sis yog vim li cas vim qhov mob ntawm daim tawv nqaij tau kis.
Mob ntshav qab zib dermatitis, zwm rau hom thawj, tsis xav tau kev kho mob nyuaj thiab ua ke. Thaum qhov mob feem ntau ntawm tus neeg mob yuav tsum nyob ruaj khov, tus naj npawb ntawm daim tawv nqaij cov tawv nqaij yuav thim rov qab.
Rau kev ua haujlwm tau zoo thiab ua tiav ntawm ntau cov pob khaus kis, siv cov kev kho mob tshwj xeeb, uas suav nrog tshuaj tiv thaiv antiallergenic.
Thiab kom dermatoses nyob rau hauv qis qis kom ploj sai dua - cov neeg sawv cev no yuav tsum muaj antifungal thiab anti-allergenic yam ntxwv.
Kev tiv thaiv ua
Kev vam meej ntawm kev kho mob ntawm dermatoses hauv ntshav qab zib mellitus ncaj qha nyob ntawm kev kho ntawm lub xeev cov kab mob kev noj qab haus huv ntawm tus neeg mob thiab cov kev ua haujlwm ntawm cov metabolism hauv nws lub cev.
Cov pob liab liab uas tshwm sim ntawm ob txhais ceg yog qhov nyuaj los kho tau. Ua li no, koj yuav tsum tau yauv mus rau tag nrho cov chav kawm ntawm kev tu tawv nqaij.
Tseem Ceeb! Nyob rau ntawm qhov muaj ntau hom tshuaj ntxuav tawv nqaij, tsuas yog siv cov khoom tu tawv nqaij me me xwb uas tsis muaj cov tshuaj tsw qab. Kev siv ntawm moisturizing cream thiab cov khoom lag luam nrog cov nyhuv yees duab kuj tau pom zoo.
Txhawm rau ua kom qhov chaw ntxhib ntawm ko taw, nws zoo dua yog siv pumice lossis cov ntaub ntawv tshwj xeeb. Nyob rau tib lub sijhawm, koj yuav tsum tsis txhob muaj nws tus kheej tshem tawm cov pob txha uas tau tsim thiab siv lwm txoj hauv kev los tshem tawm cov pob txha.
Tseem Ceeb! Ib tug neeg mob nrog cov xim liab ntawm qhov qis qis yuav tsum hnav cov khaub ncaws ua los ntawm cov ntaub, zoo nkauj. Koj yuav tsum nqa tawm cov kev hloov pauv txhua hnub ntawm cov ntaub pua chaw, ntaub ntaws, pob tw lossis thom khwm.
Ntxiv rau, nws yog qhov tsim nyog tias cov khaub ncaws raug xaiv kom nruj me me.Tus mob no tseem ceeb heev rau cov tawv nqaij ua pa tawm ywj siab, tsis txhob nyem los yog txhuam. Nrog cov tsos ntawm me thiab me kev haum, lub dermis yuav tsum tau muab tshuaj tua kab mob tam sim ntawd.
Tsis tas li, cov qhov txhab tsis tuaj yeem txuas nrog nrog plaster. Nyob rau hauv cov ntaub ntawv ntawm kev tsim ntawm ntau dermatoses nyob rau hauv cov ntshav qab zib, nws yog qhov yuav tsum tau sab laj nrog kws kho dermatologist sai li sai tau, thiab tom qab ntawd mus ntsib endocrinologist.
Teeb meem
Txawm hais tias qhov tseeb tias nrog dermatoses, uas yog qhov nyuaj los ntawm cov mob hauv qab, pib ntawm qhov tshwm sim tsis zoo li, tab sis lawv tseem tuaj yeem tshwm sim. Cov no suav nrog eczema thiab txawm tias yog kev lom zem rau kev mob ntshav qab zib mellitus, yog tias muaj kab nrib pleb lossis mob viav vias.
Qhov tsim ntawm erysipelas tseem ua tau. Tab sis lub ntsiab tseem ceeb nyob rau hauv uas cov pob liab liab tshwm nyob rau hauv qis qis kawg yog suav tias yog kev ua kom nyuaj rau txhua qhov txheej txheem tseem ceeb.
Yog li, cov ntshav qab zib tau pib txav nyuaj, tab sis ntau tus neeg mob tsis ua tib zoo mloog rau cov tsos mob hnyav no, ntseeg hais tias nws yog qhov mob ntshav qab zib. Los ntawm cov lus tau hais dhau los, nws tuaj yeem xaus lus tias kev mob ntshav qab zib dermatoses tuaj yeem nrog kev nyuaj siab.
Txhawm rau zam qhov no, tus neeg mob yuav tsum tau kuaj mob raws sij hawm. Tom qab tag nrho, ntshav qab zib mellitus khi rau tus neeg mob los soj ntsuam nws lub xeev kev noj qab haus huv tas li, zam kev txawm tias kev lav me. Tsuas yog hauv qhov no tuaj yeem ua rau cov ntshav qab zib tau txhim kho nws lub neej zoo mus txog theem.
Yuav ua li cas yog tias raug mob ko taw
Yog tias kev khawb me me, txhim kho, koj yuav tsum tau sab laj nrog koj tus kws kho mob txhawm rau kho qhov tseeb thiab kho raws sijhawm. Vim li cas ceg thiaj cuam tshuam? Nws yog lawv cov uas tau ris lub nra hnyav, uas ua rau muaj qhov tshwm sim ntawm kev txhim kho, kev hu, kev thuam uas kho, rub tawm nrog kev nyuaj.
- abrasion, kos yuav tsum tau kho nrog ib qho tshuaj tua kab mob - kev daws teeb meem ntawm furatsillina lossis qhov tsis muaj zog (liab dawb) ntawm poov tshuaj permanganate,
- yog tias qhov ntsuas kub nce ntxiv, cov cim ntawm suppuration tau tshwm sim, koj yuav tsum tau thov ib cov tshuaj pleev uas muaj tshuaj tua kab mob (nws zoo dua yog siv Levomikol lossis Levosin).
Mob rau ntshav qab zib duab ntawm tus mob ko taw ko taw
Tom qab ua ntej kho ntawm thaj chaw raug mob ntawm daim tawv nqaij, koj yuav tsum mus ntsib kws kho mob. Kev kho mob ntawm qhov mob ntawm ob txhais ceg nrog ntshav qab zib yog nqa tawm los ntawm endocrinologist. Tom qab kuaj xyuas qhov puas tsuaj, tus kws kho mob sau cov tshuaj tua kab mob, kev kho tshuaj vitamin, kev kho lub cev. Thaum cov tsos mob ntawm kev kho mob tshwm sim, Trofodermin, Solcoseryl lossis Methyluracil tshuaj pleev yuav siv tau los kho.
Irina K., 54 xyoo. Kuv tau mob tau ntau tshaj 5 xyoos. Kuv pheej haus cov tshuaj uas kws kho mob sau tseg. Kuv sim los tiv thaiv kuv txhais ko taw. Hauv kuv lub sijhawm menyuam yaus kuv nyiam taug kev liab qab, tab sis tam sim no, txawm tias lub caij ntuj sov, Kuv hnav khau khiab thiab cov thom khwm nyias nyias. Nws pov cov pob zeb tawm vim nws pom tias qhov o thiab liab tshwm ntawm cov ntiv tes. Tam sim ntawd ua tiav nrog kev daws ntawm poov tshuaj permanganate, smeared nrog Levomikol. Kuv cia siab tias txhua yam kho tau sai.
Victor Konstantinovich, tus kws kho mob endocrinologist. Irina, koj cov kev ua yog lawm, tab sis nco ntsoov hu rau koj tus kws kho mob kom soj ntsuam thiab kho ntxiv.
Trofodermin ointment muaj cov nyhuv tshuaj tua kab mob, ua kom mob sai rau cov ntshav qab zib, ua kom tawv nqaij muag, thiab siv rau cov tawv nqaij qhuav, tev, thiab pob taws tawg. Tab sis koj tsis tuaj yeem siv tshuaj pleev rau ntev, txij li muaj kev phiv tshuaj lom, ua xua tuaj yeem ua tau.
Ib tug callus tau tshwm sim: yuav ua li cas
Nws yog qhov tsim nyog yuav tsum tau hnav kom xis nyob, dav dav uas tsis nyem ntiv taw thiab pob taws. Hosiery yuav tsum ntxuav txhua lub sijhawm, tsis muaj darn, kom lub pob taws lossis ntiv tes tsis tau txhuam. Nws raug nquahu kom ntub cov taw tom qab ntxuav nrog lub qab zib tiv thaiv kab mob.
Txawm li cas los xij ib tug callus tau tshwm sim, siv ib qho kab mob me lossis ib qho hnav khaub ncaws tsis huv rau nws. Ib qho tshuaj pleev kho nrog cov nyiaj ions (Sulfargin) yog qhov tseem ceeb rau kev kho mob caj dab.Yog tias nyob hauv ib lub lis piam nws tsis tuaj yeem kho pob txha caj dab nrog tshuaj hauv tsev, kev pab ntawm kws kho mob yog qhov xav tau - tsis muaj kev kho mob tshwj xeeb, lub pob txha caj dab tuaj yeem hloov mus ua ib qho mob.
Kev mob rwj tshwm sim: yuav ua li cas
- sparing load (nce mus taug kev ntawm cov pob tw),
- antiseptic kho mob ntawm thaj chaw raug mob,
- kev kho mob nrog tshuaj tua kab mob, antihistamines, anti-inflammatory tshuaj,
- phais kev cuam tshuam kom tshem tawm cov ntsiab lus purulent thiab cov ntaub so ntswg tuag.
Cov ua rau qeeb mob zoo
- nrog cov qib siab hauv cov piam thaj hauv cov ntshav, cov ntshav yuav tuab, txav qeeb qeeb, ua rau nws nyuaj rau xa cov khoom noj muaj pa, oxygen rau cov cell,
- kev tiv thaiv kab mob tsawg
- qhov mob tawv nqaij yog ua txhaum (mob ntshav qab zib neuropathy), yog li tus neeg mob tsis ceeb toom tam sim ntawd qhov raug mob,
- ntshav hlab ntsha ua nkig, ua puas tsuaj sai
- cov txheej txheem ntawm kev tsim dua tshiab, qhov txhab kho yog raug tshuaj tiv thaiv,
- cov kab mob pathogenic coj los ua kom pom kev ntawm qhov mob txhab, mob tob tob.
- laser, sib nqus kev kho mob,
- ultraviolet hluav taws xob
- kev kho nitrogen thiab ozone.